Jeffrey Scott Gold, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

16788 Issued in NJ

Practice address

180 Avenue of the CMN
Suite 7
Shrewsbury, NJ 07702-4569

Phone

(732) 542-7877

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356452775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 AVENUE OF THE CMN",
            "address_2": "SUITE 7",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024569",
            "telephone_number": "732-542-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 AVENUE OF THE CMN",
            "address_2": "SUITE 7",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024569",
            "telephone_number": "732-542-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "16788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223140918000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy May Giordano, PTA
• Gina Girard
• Glidden Therapy Center, LLC
• Global Healthcare Alliances, LLC
• Allison Godlewicz, AU.D.
• Golding Granado Medical Associates
• Lisa M. Golding-Granado, MD
• Sheldon Goldofsky, M.D.
• Rebecca K Goldstein, LSW
• Lori Gonzalez

• Periodontics in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.