Individual provider Active NPI

Jane Mencher Gold, MD

  • Internal Medicine Physician
  • Valhalla, NY
National Provider Identifier
1033281340
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
194380 Issued in NY
Practice address
401 Columbus Ave
Suite LL1
Valhalla, NY 10595-1325
Phone
(914) 769-0268
Fax
(914) 769-6303
NPI assigned
Nov 14, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 194380 NY Primary

Addresses

Primary practice location

401 Columbus Ave
Suite LL1
Valhalla, NY 10595-1325

Mailing address

15 Birch Grove Dr
Armonk, NY 10504-2521
Phone (914) 273-7858

Other identifiers 1

IdentifierTypeStateIssuer
05186992MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410001644 NY Practitioner - Internal Medicine 0648402396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
194380NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients

Locations

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

Organizations & group practices 2

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": "1391990400000",
    "number": "1033281340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BIRCH GROVE DR",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042521",
            "telephone_number": "914-273-7858",
            "fax_number": "914-810-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLUMBUS AVE",
            "address_2": "SUITE LL1",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951325",
            "telephone_number": "914-769-0268",
            "fax_number": "914-769-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JANE",
        "middle_name": "MENCHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "194380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05186992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.