Individual provider Active NPI

Elizabeth Ann Gold, APN

  • Acute Care Nurse Practitioner
  • Summit, NJ
National Provider Identifier
1215360953
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00454100 Issued in NJ
Practice address
99 Beauvoir Ave FL 5
Summit, NJ 07901-3533
Phone
(908) 522-5914
Fax
(908) 522-5845
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00454100 NJ Primary

Addresses

Primary practice location

99 Beauvoir Ave FL 5
Summit, NJ 07901-3533

Mailing address

1005 Tompkins Ave
South Plainfield, NJ 07080-2238
Phone (908) 406-5206

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (908) 522-5914

Other practice location 2

1005 Tompkins Ave
South Plainfield, NJ 07080-2238
Phone (908) 406-5206

Other practice location 3

11 Overlook Rd Ste 180
Summit, NJ 07901-3581
Phone (908) 522-5914

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140523000714 NJ Practitioner - Nurse Practitioner 2062635840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00454100NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Sep 12, 2022 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

60 Columbia Rd
Bldg A
Morristown, NJ 07960
Phone (973) 206-0208

100 Madison Ave
Fl 3
Morristown, NJ 07960
Phone (908) 522-3523

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

99 Beauvoir Ave
Fl 5
Summit, NJ 07901
Phone (908) 522-2829

11 Overlook Rd
Ste 180
Summit, NJ 07901
Phone (973) 845-2500

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

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.

Hospital & facility affiliations 2

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1215360953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 TOMPKINS AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802238",
            "telephone_number": "908-406-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE FL 5",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-5914",
            "fax_number": "908-522-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "908-522-5914",
            "fax_number": "908-522-5845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Tompkins Ave",
            "address_purpose": "LOCATION",
            "city": "South Plainfield",
            "state": "NJ",
            "postal_code": "070802238",
            "country_code": "US",
            "telephone_number": "908-406-5206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Overlook Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013581",
            "country_code": "US",
            "telephone_number": "908-522-5914",
            "fax_number": "908-522-5845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00454100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.