Individual provider Active NPI

Joan Trudy Gold, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • New York, NY
National Provider Identifier
1609869668
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
127668 Issued in NY
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

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00417818MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001079 NY Practitioner - Physical Medicine and Rehabilitation 6507959962 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127668NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Current Accepting new patients
New York University CurrentSince Jun 13, 2010 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2015 Accepting new patients
New York University CurrentSince Jun 3, 2010 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York University CurrentSince Jun 3, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.