Individual provider Active NPI

Jeffrey Stuart Gold, M.D.

  • Psychiatry Physician
  • New London, CT
National Provider Identifier
1245364975
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28547 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4769
Phone
(203) 688-0715
Fax
(475) 246-9062
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 216378 NY
Geriatric Psychiatry Physician 2084P0805X 216378 NY
Psychiatry Physician 2084P0800X 28547 CT Primary
Psychiatry Physician 2084P0800X 216378 NY

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4769

Mailing address

10 Joludow Dr
Massapequa Park, NY 11762-3720
Phone (516) 729-6255

Other practice location 1

10 Joludow Dr
Massapequa Park, NY 11762-3720
Phone (516) 729-6255

Other identifiers 1

IdentifierTypeStateIssuer
020-52793MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20201118000266 CT Practitioner - Psychiatry 5597941294 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchaug Hospital, IncGroup PAC ID 5395648737, 34 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 444-3735

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28547CTMDPsychiatry Physician
216378NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
The Griffin Hospital Psychiatry CurrentSince Apr 18, 2022 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 1, 2026 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Natchaug Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Middlesex Hospital CurrentSince Dec 20, 2021 Accepting new patients
Middlesex Hospital Psychiatry CurrentSince Dec 20, 2021 Accepting new patients
Neighborhood Health, Inc. Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Garnet Health Medical Center Catskills Past Accepting new patients
Garnet Health Medical Center Catskills Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

130 Division St
Derby, CT 06418
Phone (203) 732-1330

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Organizations & group practices 11

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1245364975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOLUDOW DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623720",
            "telephone_number": "516-729-6255",
            "fax_number": "516-373-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204769",
            "telephone_number": "203-688-0715",
            "fax_number": "475-246-9062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Joludow Dr",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117623720",
            "country_code": "US",
            "telephone_number": "516-729-6255",
            "fax_number": "516-373-7219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JEFFREY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "216378",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "216378",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "28547",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "216378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020-52793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.