Richard Thomas Gosse, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

009647 Issued in NY

Practice address

Radiation Oncology-Somc
1140 Route 72 West
Manahawkin, NJ 08050-0805

Phone

(609) 978-2194

Fax

(609) 978-2843

NPI assigned

Jul 17, 2006

Last updated

Dec 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Atlanticare Regional Medical Center

  dba ARMC Faculty Practice - Jefferson Neurosciences at AtlantiCare

  • Neurological Surgery Physician
  • Atlantic City, NJ
  • NPI 1255764841
  Medicare reassignment NPD
• Atlanticare Regional Medical Center

  dba Atlanticare Commuity Pharmacy - Atlantic City

  • Community/Retail Pharmacy
  • Atlantic City, NJ
  • NPI 1235677378
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1003834102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RADIATION ONCOLOGY-SOMC",
            "address_2": "1140 ROUTE 72 WEST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501026",
            "telephone_number": "609-978-2194",
            "fax_number": "609-978-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RADIATION ONCOLOGY-SOMC",
            "address_2": "1140 ROUTE 72 WEST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080500805",
            "telephone_number": "609-978-2194",
            "fax_number": "609-978-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSE",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000405485002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4144417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Robert Ginelli, LSW, LCADC, CCS
• William B Glenn, D.O.
• Juliana Rose Gonzalez
• Brittany Ann Gordon, LAC
• Joseph Aloysius Gorman III, LCSW
• Brian T Gottesman, M.D.
• Laura Fallon Gowdy, PT, DPT
• Sergey Grachev, M.D.
• Melissa Ann Grando, RN
• Julia Kate Graney, M.S.ED., CF-SLP

• Surgical Physician Assistant in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.