W H Goodale Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

W H GOODALE CO

Doing business as

Goodale Surgical Supply

Practice address

16 N Sussex St
Dover, NJ 07801

Phone

(973) 366-0976

Fax

(973) 366-2192

NPI assigned

Sep 26, 2017

Last updated

Jul 21, 2022By 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

Robert Pergola, RPH

Title

President

Phone

(973) 366-0976

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goodale Surgical Supply Doing business as

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043729718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N SUSSEX ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013958",
            "telephone_number": "973-366-0976",
            "fax_number": "973-366-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N SUSSEX ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "07801",
            "telephone_number": "973-366-0976",
            "fax_number": "973-366-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W H GOODALE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERGOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-366-0976",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139616",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodale Surgical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Vanderbeck, OT
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• Chantelle R Varrial Grant, DC
• Gemma Fay Vazquez, M.A., BCBA
• Vital Medical Forces of Dover PC
• W H Goodale Co (Goodale Pharmacy)
• Sam Wakim, D.M.D, M.P.H
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• Joseph J Wallis, DO
• Michael Thomas Ward, DC

• Durable Medical Equipment & Medical Supplies in Dover, NJ
• Providers in Dover, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.