Individual provider Active NPI

Stacey Lynne Gold, M.D.

  • Maternal & Fetal Medicine Physician
  • Livingston, NJ
National Provider Identifier
1508246141
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
25MA11550100 Issued in NJ
Practice address
94 Old Short Hills Rd Ste 402
Livingston, NJ 07039-5672
Phone
(973) 322-5287
Fax
(973) 322-2309
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD046982 DC
Student in an Organized Health Care Education/Training Program 390200000X MT208765 PA
Maternal & Fetal Medicine Physician 207VM0101X 25MA11550100 NJ Primary

Addresses

Primary practice location

94 Old Short Hills Rd Ste 402
Livingston, NJ 07039-5672

Mailing address

94 Old Short Hills Rd Ste 402
Livingston, NJ 07039-5672
Phone (973) 322-5287

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
I20250114000545 NJ Practitioner - Obstetrics/Gynecology 6709314123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046982DCMDObstetrics & Gynecology Physician
MT208765PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Perinatal Assoc. LLC CurrentSince Sep 13, 2024 Accepting new patients
WHC Physician Group LLC Past Accepting new patients
Bergen Perinatal Associates, LLC Maternal & Fetal Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

94 Old Short Hills Rd
Ste 402
Livingston, NJ 07039
Phone (973) 322-5287

650 From Rd
Ste 160
Paramus, NJ 07652
Phone (973) 322-5287

299 Cherry Hill Rd
Ste 103
Parsippany, NJ 07054
Phone (973) 322-5287

718 Teaneck Rd
Fl 2
Teaneck, NJ 07666

8 Mountain Blvd
Ste A
Warren, NJ 07059
Phone (908) 561-8600

560 Springfield Ave
Ste 102
Westfield, NJ 07090
Phone (908) 233-8052

560 Springfield Ave
Westfield, NJ 07090
Phone (908) 228-3610

Interoperability endpoints

  • Direct secure messaging: stacey.gold.1@32861.direct.athenahealth.com
  • Direct secure messaging: sgold470370@direct.ahsys.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1508246141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD STE 402",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5287",
            "fax_number": "973-322-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD STE 402",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-5287",
            "fax_number": "973-322-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "STACEY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD046982",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT208765",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA11550100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.