Mary Gole, APN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01417300 Issued in NJ

Practice address

376 Lafayette Rd Ste 101
Sparta, NJ 07871-3560

Phone

(973) 383-9898

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Nurse Practitioner

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 and National Provider Directory roles.

• Atlantic Urgent Care, LLC

  • General Practice Physician
  • Newton, NJ
  • NPI 1023358959
  Medicare reassignment NPD
• Immediate Care Medical Walk-in of Hazlet, PA

  • Urgent Care Clinic/Center
  • Hazlet, NJ
  • NPI 1245595313
  Medicare reassignment NPD
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  Medicare reassignment NPD
• William R. Collini, M.D., P.a.

  • Specialist
  • Newton, NJ
  • NPI 1144426602
  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1043926439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078760540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 LAFAYETTE RD STE 101",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713560",
            "telephone_number": "973-383-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLE",
        "first_name": "MARY",
        "credential": "APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01417300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Giacobbe
• Sheri Martha Gibson-Broyles, LCSW
• Alexa Giroux
• Megan Gleason
• Glenn a. Neufeld, OD, LLC
• Alanna Gomez-Moncion, APN
• Nicole Gong, PHARMD
• Gabrielle A Gordon, DPT
• Grace Russo, Inc.
• Michele Greco

• Family Nurse Practitioner in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.