Robert Alan Gold, M.D.

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

170799 Issued in NY

Practice address

Pilgrim Psychiatric Center
998 Crooked Hill Road
West Brentwood, NY 11717

Phone

(631) 761-2229

Fax

(516) 625-2933

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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 NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • West Brentwood, NY
  • NPI 1578627485
  Medicare reassignment NPD
• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • Rochester, NY
  • NPI 1730243643
  NPD
• Anesthesiology Associates of Boro Park, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1518912302
  NPD (past)
• Maimonides Department of Psychiatry FPP

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1376656710
  NPD (past)
• MMC OB-GYN Faculty Practice Plan

  • Specialist
  • Brooklyn, NY
  • NPI 1306843388
  NPD (past)
• Nys Office of Mental Health

  • Psychiatric Hospital
  • West Brentwood, NY
  • NPI 1740344910
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215967633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DAVIS LN",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762157",
            "telephone_number": "516-621-5653",
            "fax_number": "516-625-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PILGRIM PSYCHIATRIC CENTER",
            "address_2": "998 CROOKED HILL ROAD",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-761-2229",
            "fax_number": "516-625-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "170799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracia Jalandoni Garcia, M.D.
• Susan Garner, REGISTERED NURSE
• Maria Gerli
• Ivan Leonidas Giannou, RN
• Christopher J Giordano
• Jennifer Grasso, MS, RD, CDN
• Kim Hagstrom, OTR/L
• M Danielle Hamilton, LCSW
• Diajah Harry
• Amyr Rizwan Hashmi, M.D.

• Clinical Neurophysiology Physician in West Brentwood, NY
• Providers in West Brentwood, NY by specialty
• Clinical Neurophysiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.