Fern Gotfried, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04606600 Issued in NJ

Practice address

91 S Jefferson Rd
Suite 200
Whippany, NJ 07981-1037

Phone

(973) 538-6116

Fax

(973) 538-3712

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1649282419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LB# 7550 PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S JEFFERSON RD",
            "address_2": "SUITE 200",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811037",
            "telephone_number": "973-538-6116",
            "fax_number": "973-538-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTFRIED",
        "first_name": "FERN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA04606600",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04606600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4624602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garden Key Counseling, LLC
• Garden State Urology LLC
• Nicole L Gewecke
• Gail Glazer, PHARM D
• Lyubomyr Golovko, APN
• David Peter Guerra, R.PH.
• Bernard Leo Gutman, OD
• Naama Hadar, RN
• Kendall Marie Hander, MA, LAC
• Hanover NJ Endoscopy ASC LLC (Hanover Endoscopy Center)

• Pediatrics Physician in Whippany, NJ
• Providers in Whippany, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.