Jenna Madelayne Julie Gobel, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1188329 Issued in CT

Practice address

170 William St
New York, NY 10038-2612

Phone

(212) 312-5000

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1255054920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FRANCIS ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "212-312-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEL",
        "first_name": "JENNA",
        "middle_name": "MADELAYNE JULIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "1188329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "212-312-5000",
            "affiliation": "N",
            "endpointDescription": "Main Phone Number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "170 William St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100382612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Gwain Go, OTR/L
• Hector H Goa, MD
• Caroline Goan, MFT-LP
• Daniel Goan, DO
• Heidi Karon Goar, LMSW
• Rachel Kleinerman Gober, M.D
• Sarita Gober, PSY.D., NCSP
• Vishram Adesh Mahindra Goberdhan, MBBS
• Yves Pierre Gobin, M.D.
• Samantha Bess Gobioff

• Surgical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.