Individual provider Active NPI

Jean Marie Golden-Tevald, DO

  • Family Medicine Physician
  • Flemington, NJ
National Provider Identifier
1184608853
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05179200 Issued in NJ
Practice address
4 Walter E Foran Blvd Ste 409
Flemington, NJ 08822-4669
Phone
(908) 735-9344
Fax
(908) 735-7136
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05179200 NJ Primary

Addresses

Primary practice location

4 Walter E Foran Blvd Ste 409
Flemington, NJ 08822-4669

Mailing address

416 Mechlin Corner Rd
Pittstown, NJ 08867-5016
Phone (908) 735-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo del Priore DPM Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jean.goldentevald@6786249981956.direct.elationemr.com

Organizations & group practices 1

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1184608853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MECHLIN CORNER RD",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088675016",
            "telephone_number": "908-735-9344",
            "fax_number": "908-735-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD STE 409",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224669",
            "telephone_number": "908-735-9344",
            "fax_number": "908-735-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN-TEVALD",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05179200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.