Organization Active NPI

Jack Gold Surgical Appliances, Inc.

  • Prosthetic/Orthotic Supplier
  • East Stroudsburg, PA
National Provider Identifier
1497797898
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
6000005108 Issued in PA
Legal business name
JACK GOLD SURGICAL APPLIANCES, INC.
Doing business as
AlliedOP, Inc.
Practice address
300 East Brown Street
Suite B
East Stroudsburg, PA 18301-3007
Phone
(570) 420-9900
Fax
(570) 420-4529
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Ivan Sabel
Title
Ceo
Phone
(973) 328-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 6000005108 PA Primary

Addresses

Primary practice location

300 East Brown Street
Suite B
East Stroudsburg, PA 18301-3007

Mailing address

300 East Brown Street
Suite B
East Stroudsburg, PA 18301-3007
Phone (570) 420-9900

Other identifiers 1

IdentifierTypeStateIssuer
0073257880003MedicaidPA

Other names 1

  • AlliedOP, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034973 PA DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Medical Supply Company With Orthotic-Prosthetic 9830215490 Practice locations: East Stroudsburg, PA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Jack Gold Surgical Appliances, Inc.300 E Brown St, East Stroudsburg, PA 18301-3012(570) 420-9900 Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Jack Gold Surgical Appl9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1497797898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST BROWN STREET",
            "address_2": "SUITE B",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013007",
            "telephone_number": "570-420-9900",
            "fax_number": "570-420-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST BROWN STREET",
            "address_2": "SUITE B",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013007",
            "telephone_number": "570-420-9900",
            "fax_number": "570-420-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK GOLD SURGICAL APPLIANCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-328-3340"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000005108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073257880003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AlliedOP, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.