Peter Gould, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA59754 Issued in NJ

Practice address

50 Newark Ave
Suite 308
Belleville, NJ 07109-1185

Phone

(973) 450-1155

Fax

(973) 751-5741

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Family Practice

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infectious Diseases North PCGroup PAC ID 3173787918, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pgould260492@epicdirect.rwjbh.org

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.

• Infectious Diseases North PC

  • Infectious Disease Physician
  • Nutley, NJ
  • NPI 1477811602
  Medicare reassignment Care Compare group NPD
• Hudson Co Board of Chosen Freehold Admin

  • Psychiatric Hospital
  • Secaucus, NJ
  • NPI 1053470047
  Medicare reassignment NPD
• City of Elizabeth

  • Ambulance
  • Elizabeth, NJ
  • NPI 1366435745
  NPD (past)
• Hari Om Sharma, MD, PC

  • Pulmonary Disease Physician
  • Nutley, NJ
  • NPI 1356075089
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1801944921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079740922",
            "telephone_number": "973-450-1155",
            "fax_number": "973-751-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 308",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-450-1155",
            "fax_number": "973-751-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA59754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5695476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "58762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60002159",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3514963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2469090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicola Gonnella, B.S.
• Ma Cristina Valencia Gonzaga, APN-BC
• Lyanne Karina Gonzalez
• Good Health Pharmacy
• Thomas J Gormley, DMD
• Gout Institute of America
• Gout Institute of America LLC
• Richard Grabowski, PA
• Vanessa Granozio, D.C.
• Suzette Gray, CNM

• Family Medicine Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.