Individual provider Active NPI

David R McComb, D.O.

  • Geriatric Psychiatry Physician
  • Merchantville, NJ
National Provider Identifier
1326018433
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MB69772 Issued in NJ
Practice address
109 W Maple Ave
Merchantville, NJ 08109-2038
Phone
(609) 953-5517
Fax
(609) 953-1135
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MB69772 NJ Primary

Addresses

Primary practice location

109 W Maple Ave
Merchantville, NJ 08109-2038

Mailing address

PO Box 445
Medford, NJ 08055-0445
Phone (609) 953-5517

Other identifiers 1

IdentifierTypeStateIssuer
0002232MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2025 through Dec 31, 2027

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rowan University School of Osteopathic Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 445
Medford, NJ 08055-0445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB69772NJMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John J Wilkins,D.O.,P.a. PastSince May 7, 2019 Accepting new patients
Center for Family Guidance, PC Geriatric Psychiatry Past Accepting new patients
John J. Colyar, Jr., PH.D. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1326018433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080550445",
            "telephone_number": "609-953-5517",
            "fax_number": "609-953-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAPLE AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092038",
            "telephone_number": "609-953-5517",
            "fax_number": "609-953-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "MB69772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002232",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

Verify at the official NPI Registry.