Active NPI
Keith A. Comber, CRNA
- Certified Registered Nurse Anesthetist
- Willingboro, NJ
National Provider Identifier
1679875587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NR11591900
- Practice address
- 218A Sunset Rd
Willingboro, NJ 08046-1110 - Phone
- (609) 835-2901
- NPI assigned
- Nov 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR11591900 | NJ | Primary |
Addresses
Primary practice location
218A Sunset Rd
Willingboro, NJ 08046-1110
Mailing address
700 Route 130 N
Suite 203
Cinnaminson, NJ 08077-3365
Phone (856) 829-9345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NR11591900 | Other | NJ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR11591900 | NJ | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1679875587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ROUTE 130 N",
"address_2": "SUITE 203",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080773365",
"telephone_number": "856-829-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218A SUNSET RD",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461110",
"telephone_number": "609-835-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBER",
"first_name": "KEITH",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR11591900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "26NR11591900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.