Individual provider Active NPI

Jeffrey Stuart Gosin, MD

  • Surgery Physician
  • Somers Point, NJ
National Provider Identifier
1386752012
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA05603100 Issued in NJ
Practice address
442 Bethel Road
Somers Point, NJ 08244
Phone
(609) 927-3030
Fax
(605) 926-3563
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA05603100 NJ Primary
Vascular Surgery Physician 2086S0129X 25MA05603100 NJ

Addresses

Primary practice location

442 Bethel Road
Somers Point, NJ 08244

Mailing address

442 Bethel Road
Somers Point, NJ 08244
Phone (609) 927-3030

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000004 NJ Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Interventional Radiology 3072665694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

442 Bethel Rd
Somers Point, NJ 08244-2046
Phone (609) 927-3030

Hospital & facility affiliations

  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Merit-based Incentive Payment System (MIPS)

Final score
91.45 of 100Reported as individual
Quality
82.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal271
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05603100NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Surgical Group PC Surgery CurrentSince Jul 28, 1997 Accepting new patients
Atlantic Cape Surgical Assistants,LLC PastSince Jul 28, 1997 Accepting new patients

Locations

442 Bethel Rd
Somers Point, NJ 08244
Phone (609) 927-3030

Interoperability endpoints

  • Direct secure messaging: jeffrey.gosin@jerseyshoresurgicalgrouppc.chartmakerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1386752012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 BETHEL ROAD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-927-3030",
            "fax_number": "605-926-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 BETHEL ROAD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-927-3030",
            "fax_number": "605-926-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSIN",
        "first_name": "JEFFREY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA05603100",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA05603100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.