Active NPI
Ronen Gold, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Westfield, NJ
National Provider Identifier
1306830864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 22DI02146300
- Practice address
- 116 S Euclid Ave
1St Floor
Westfield, NJ 07090-2184 - Phone
- (908) 232-5551
- NPI assigned
- Sep 9, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02146300 | NJ | Primary |
Addresses
Primary practice location
116 S Euclid Ave
1St Floor
Westfield, NJ 07090-2184
Mailing address
116 S Euclid Ave
1St Floor
Westfield, NJ 07090-2184
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170317000603 | NJ | Order and Referring Only - Oral Surgery | 7719205442 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02146300 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oms of Westfield LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Tri-State Specialists LLC | Past | Accepting new patients | |
| Penna Oral & Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Maxilla LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Westfield, NJ
- NPI 1104787092
-
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1346808045
-
- Oral and Maxillofacial Surgery (Dentist)
- Collegeville, PA
- NPI 1942082250
-
- Oral and Maxillofacial Surgery (Dentist)
- Bryn Mawr, PA
- NPI 1790786317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1306830864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S EUCLID AVE",
"address_2": "1ST FLOOR",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S EUCLID AVE",
"address_2": "1ST FLOOR",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902184",
"telephone_number": "908-232-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "RONEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2007-07-13",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "22DI02146300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.