Individual provider Active NPI

Eric Gold, PA

  • Physician Assistant
  • Glens Falls, NY
National Provider Identifier
1043326119
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008459 Issued in NY
Practice address
1 S Western Ave
Glens Falls, NY 12801-3309
Phone
(518) 745-5280
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008459 NY Primary

Addresses

Primary practice location

1 S Western Ave
Glens Falls, NY 12801-3309

Mailing address

1 S Western Ave
Glens Falls, NY 12801-3309
Phone (518) 745-5280

Other identifiers 1

IdentifierTypeStateIssuer
02555008MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000258 NY Practitioner - Physician Assistant 8729167242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Dermatology, P.C.Group PAC ID 2163518481, 6 clinicians

Practice addresses (Care Compare)

1 S Western Ave
Suite 103
Glens Falls, NY 12801-3304
Phone (518) 745-5280

2691 Route 9
Malta, NY 12020-9998
Phone (518) 745-5280

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8459NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Feb 1, 2008 Accepting new patients
Saratoga Hospital CurrentSince Feb 1, 2008 Accepting new patients

Locations

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

Interoperability endpoints

  • Direct secure messaging: egold@gatewaydermatology.medentdirect.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1043326119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WESTERN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013309",
            "telephone_number": "518-745-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S WESTERN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013309",
            "telephone_number": "518-745-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ERIC",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02555008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.