David R. McComb, DO, LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

MB69772 Issued in NJ

Legal business name

DAVID R. MCCOMB, DO, LLC

Practice address

239 Taunton Blvd
A-2
Medford, NJ 08055-3471

Phone

(609) 953-5517

Fax

(609) 953-1135

NPI assigned

Oct 12, 2007

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David McComb, DONPI 1326018433

Title

Manager

Phone

(609) 953-5517

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R McComb, D.O.

  • Geriatric Psychiatry Physician
  • Merchantville, NJ
  • NPI 1326018433
  Authorized official Same address or phone
• John J Colyar Jr., PHD

  • Clinical Psychologist
  • Merchantville, NJ
  • NPI 1881775567
  NPD (past)
• Emily G Wilkins, MSN, PMHNP-BC

  • Psychiatry Physician
  • Medford, NJ
  • NPI 1922574326
  NPD (past)
• John Wilkins, DO

  • Psychiatry Physician
  • Trenton, NJ
  • NPI 1154438786
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1881882082",
    "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": "239 TAUNTON BLVD",
            "address_2": "A-2",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553471",
            "telephone_number": "609-953-5517",
            "fax_number": "609-953-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. MCCOMB, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MCCOMB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-953-5517",
        "authorized_official_credential": "DO"
    },
    "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": []
}

• Kelly Dallas, PA-C
• James Charles Damico, DO
• Megan Elizabeth Danial
• Karen Fung Dante, M.D.
• David a. High (Accent Dermatology)
• Amanda Whitney Davis
• Karina De Julius
• Deborra M. Torres, MSN Pmhnp LLC
• Deborra M. Torres, MSN, Pmhnp, LLC
• Jason A Decesari, PT, DPT

• Geriatric Psychiatry Physician in Medford, NJ
• Providers in Medford, NJ by specialty
• Geriatric Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.