Active NPI
Graydon Gregory Goss, MD
- Psychiatry Physician
- Red Bank, NJ
National Provider Identifier
1306937529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA66903
- Practice address
- 79 Oak Hill Rd
Red Bank, NJ 07701 - Phone
- (732) 530-1181
- Fax
- (732) 530-1182
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA66903 | NJ | Primary |
Addresses
Primary practice location
79 Oak Hill Rd
Red Bank, NJ 07701
Mailing address
79 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 530-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA66903 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1306937529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 OAK HILL RD",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-530-1181",
"fax_number": "732-530-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 OAK HILL RD",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-530-1181",
"fax_number": "732-530-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSS",
"first_name": "GRAYDON",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA66903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.