Individual provider Active NPI

Clare Gosek, M.D.

  • Family Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1104230929
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11045400 Issued in NJ
Practice address
4056 Quakerbridge Rd Ste 101
Lawrenceville, NJ 08648-4779
Phone
(609) 528-9150
Fax
(609) 528-9151
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116026870 VA
Family Medicine Physician 207Q00000X 25MA11045400 NJ Primary

Addresses

Primary practice location

4056 Quakerbridge Rd Ste 101
Lawrenceville, NJ 08648-4779

Mailing address

4056 Quakerbridge Rd
Ste 101
Lawrenceville, NJ 08648-4779

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chector133195@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC
Direct Messaging Address clare.gosek.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NJ, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160113002249 DC Practitioner - Family Practice 1254633803 Reassigns benefits to 2 organizations
I20200623000365 VA Practitioner - Family Practice 1254633803 Reassigns benefits to 1 organization
I20210504002158 NJ Practitioner - Family Practice 1254633803 Reassigns benefits to 1 organization
I20210803000083 PA Practitioner - Family Practice 1254633803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1240 General Washington Mem Blvd
Suite 3
Washington Crossing, PA 18977-1335
Phone (855) 247-2725

4056 Quakerbridge Rd
Suite 101
Lawrenceville, NJ 08648-4779
Phone (609) 528-9150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 11, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 11, 2015 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Capital Health Medical Group Family Medicine CurrentSince May 1, 2021 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Capital Health System Family Medicine PastSince May 1, 2021 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

4056 Quakerbridge Rd
Ste 101
Lawrenceville, NJ 08648
Phone (609) 275-0487

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1240 General Washington Mem Blvd
Ste 3
Washington Crossing, PA 18977
Phone (267) 573-0670

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: clare.gosek.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chector133195@soc.inova.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1104230929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD",
            "address_2": "STE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSEK",
        "first_name": "CLARE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116026870",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11045400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chector133195@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3650 Joseph Siewick Dr",
            "address_2": "Suite 400",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clare.gosek.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4056 Quakerbridge Rd Ste 101",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086484779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.