Joel S. Ross M.D.,LLC.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MA47821 Issued in NJ

Legal business name

JOEL S. ROSS M.D.,LLC.

Practice address

80 Pavilion Ave
Long Branch, NJ 07740-6413

Phone

(732) 571-1535

Fax

(732) 571-5115

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joel S Ross, M.D

Title

Owner

Phone

(732) 739-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1417144098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330647",
            "telephone_number": "732-739-4400",
            "fax_number": "732-739-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PAVILION AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406413",
            "telephone_number": "732-571-1535",
            "fax_number": "732-571-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL S. ROSS M.D.,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-739-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA47821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph H Jamieson, PT
• Janet Rustia
• Jay B Bosniak MD PA
• Chamseddine Jebali
• Joyce Lee Jenkins, NP
• Andrew Johnson, DO
• Judith A Johnson, MD
• Harold Russell Jones
• James William Jones III, PSY.D., PH.D.
• Veronica Gail Jordan, PT, DPT, MPT

• Geriatric Medicine (Internal Medicine) Physician in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.