Gold Medal Ambulance

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1511057 Issued in NJ

Legal business name

GOLD MEDAL AMBULANCE

Practice address

141 Stratford PL
Lakewood, NJ 08701-1468

Phone

(732) 994-9929

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Perlman

Title

Director of Operations

Phone

(732) 994-9929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1336529114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 STRATFORD PL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011468",
            "telephone_number": "732-994-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 STRATFORD PL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011468",
            "telephone_number": "732-994-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD MEDAL AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "732-994-9929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "1511057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gluck, LCSW, MT-BC
• Sheva Gluck, CNM
• Devora Gobioff
• Rachel Gobioff, DPT
• Miriam Godin, SPECIAL ED
• Elisheva Gold, SLP
• Madelaine Gold, LMFT
• Rachel Gold, COTA
• Yachat Malka Gold, RDN
• Aviva Goldberg

• Non-emergency Medical Transport (VAN) in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.