Active NPI
Jeffrey L Gold,MD,PA
- Internal Medicine Physician
- Clifton, NJ
National Provider Identifier
1437289238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JEFFREY L GOLD,MD,PA
- Practice address
- 1135 Broad St
Suite 205
Clifton, NJ 07013-3346 - Phone
- (973) 471-8850
- Fax
- (973) 471-5232
- NPI assigned
- Mar 7, 2007
- Last updated
- Oct 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey L Gold, MD
- Title
- Owner
- Phone
- (973) 471-8850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1135 Broad St
Suite 205
Clifton, NJ 07013-3346
Mailing address
1135 Broad St
Suite 205
Clifton, NJ 07013-3346
Phone (973) 471-8850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083641765 | Other | NJ | NPI |
| 4798201 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255392000000",
"number": "1437289238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 BROAD ST",
"address_2": "SUITE 205",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133346",
"telephone_number": "973-471-8850",
"fax_number": "973-471-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 BROAD ST",
"address_2": "SUITE 205",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133346",
"telephone_number": "973-471-8850",
"fax_number": "973-471-5232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L GOLD,MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2009-10-13",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-471-8850",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1083641765",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4798201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.