Organization Active NPI

Goldy Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Mount Holly, NJ
National Provider Identifier
1760550891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GOLDY MEDICAL SERVICES
Practice address
54 High St
Mount Holly, NJ 08060-1733
Phone
(609) 261-9566
Fax
(609) 702-0564
NPI assigned
Nov 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kerry Ann Fitzpatrick
Title
President
Phone
(609) 261-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

54 High St
Mount Holly, NJ 08060-1733

Mailing address

54 High St
Mount Holly, NJ 08060-1733
Phone (609) 261-9566

Other identifiers 1

IdentifierTypeStateIssuer
2475405MedicaidNJ

National Provider Directory

National Provider Directory

Locations

54 High St
Mount Holly, NJ 08060
Phone (609) 261-9566

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760550891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601733",
            "telephone_number": "609-261-9566",
            "fax_number": "609-702-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601733",
            "telephone_number": "609-261-9566",
            "fax_number": "609-702-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-261-9566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2475405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.