Organization Active NPI

Ocean Grove Family Chiropractic, LLC

  • Sports Physician Chiropractor
  • Ocean Grove, NJ
National Provider Identifier
1972661676
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
Legal business name
OCEAN GROVE FAMILY CHIROPRACTIC, LLC
Practice address
77 Main Ave
Suite 1C
Ocean Grove, NJ 07756-1389
Phone
(732) 774-1933
Fax
(732) 774-2463
NPI assigned
Dec 5, 2006
Last updated
Dec 22, 2008By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Ross Coomber, D.C.NPI 1689746760
Title
Owner Doctor
Phone
(732) 774-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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
O20070403000207 NJ Part B Supplier - Clinic/Group Practice 3072617976 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean Grove, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1972661676",
    "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": {
        "organization_name": "OCEAN GROVE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "COOMBER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "732-774-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.