Individual provider Active NPI

Ross Coomber, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Ocean Grove, NJ
National Provider Identifier
1689746760
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00555000 Issued in NJ
Practice address
77 Main Ave
Suite 1C
Ocean Grove, NJ 07756-1389
Phone
(732) 774-1933
Fax
(732) 774-2463
NPI assigned
Nov 14, 2006
Last updated
Dec 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 38MC00555000 NJ Primary

Addresses

Primary practice location

77 Main Ave
Suite 1C
Ocean Grove, NJ 07756-1389

Mailing address

77 Main Ave
Suite 1C
Ocean Grove, NJ 07756-1389
Phone (732) 774-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000219 NJ Practitioner - Chiropractic 4880798784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Main Ave
Suite 1C
Ocean Grove, NJ 07756-1389
Phone (732) 774-7933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Grove Family Chiropractic, LLC Sports Physician CurrentSince Jan 1, 2004 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1689746760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN AVE",
            "address_2": "SUITE 1C",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561389",
            "telephone_number": "732-774-1933",
            "fax_number": "732-774-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN AVE",
            "address_2": "SUITE 1C",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561389",
            "telephone_number": "732-774-1933",
            "fax_number": "732-774-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBER",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00555000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.