Individual provider Active NPI

Jeffrey Charles Gold, MD

  • Internal Medicine Physician
  • Chappaqua, NY
National Provider Identifier
1780890574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
155852 Issued in NY
Practice address
2 Sleepy Hollow Rd
Chappaqua, NY 10514-1411
Phone
(914) 666-5885
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 155852 NY Primary

Addresses

Primary practice location

2 Sleepy Hollow Rd
Chappaqua, NY 10514-1411

Mailing address

2 Sleepy Hollow Rd
Chappaqua, NY 10514-1411
Phone (914) 666-5885

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
I20170125002120 NY Practitioner - Internal Medicine 3971511197 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Jan 5, 2017 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Jan 5, 2017 Accepting new patients

Locations

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

1060 Amsterdam Ave
New York, NY 10025
Phone (212) 316-7700

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rebekah Rehab & Extended Care CenterBronx, NY, CCN 335557 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2003
Jul 1, 2003
Rebekah Certified Home Health AgencyBronx, NY, CCN 337430 Home health agency Contracted Managing Employee Jul 1, 2003

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780890574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SLEEPY HOLLOW RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141411",
            "telephone_number": "914-666-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SLEEPY HOLLOW RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141411",
            "telephone_number": "914-666-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

Verify at the official NPI Registry.