Active NPI
Joan Trudy Gold, M.D.
- Pediatric Rehabilitation Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 127668
- Practice address
- 400 E 34TH St
Suite 518
New York, NY 10016-4901 - Phone
- (212) 263-6519
- Fax
- (212) 263-7794
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 127668 | NY | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 127668 | NY | Primary |
Addresses
Primary practice location
400 E 34TH St
Suite 518
New York, NY 10016-4901
Mailing address
400 E 34TH St
Suite 518
New York, NY 10016-4901
Phone (212) 263-6519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00417818 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127668 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
400 E 34th St
Ste 518
New York, NY 10016
Phone (212) 263-0501
400 E 34th St
#N
New York, NY 10016
Phone (212) 340-6519
400 E 34th St
New York, NY 10016
Phone (212) 263-6037
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- joangold@mai.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Otolaryngology Physician
- New York, NY
- NPI 1851456701
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1811144975
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1609869668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 34TH ST",
"address_2": "SUITE 518",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164901",
"telephone_number": "212-263-6519",
"fax_number": "212-263-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 34TH ST",
"address_2": "SUITE 518",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164901",
"telephone_number": "212-263-6519",
"fax_number": "212-263-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "JOAN",
"middle_name": "TRUDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "127668",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NY",
"license": "127668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00417818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.