Active NPI
Jay B. Gooze, M.D.
- Ophthalmology Physician
- Rochester, NH
National Provider Identifier
1841293214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5784
- Practice address
- 21 Gonic Rd
Rochester, NH 03867-3926 - Phone
- (603) 332-3302
- Fax
- (603) 332-9608
- NPI assigned
- May 31, 2005
- Last updated
- Jan 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5784 | NH | Primary |
Addresses
Primary practice location
21 Gonic Rd
Rochester, NH 03867-3926
Mailing address
21 Gonic Rd
Rochester, NH 03867-3926
Phone (603) 332-3302
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA608 | Other | NH | HARVARD PILGRIM HEALTH |
| 0104194Y0NH01 | Other | NH | ANTHEM BCBS |
| 81184194 | Medicaid | NH | |
| 1483709 | Other | NH | CIGNA |
| 449260001 | Other | MEDICARE DURABLE EQUIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5784 | NH | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1841293214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GONIC RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673926",
"telephone_number": "603-332-3302",
"fax_number": "603-332-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GONIC RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673926",
"telephone_number": "603-332-3302",
"fax_number": "603-332-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOZE",
"first_name": "JAY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "5784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA608",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "0104194Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81184194",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1483709",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DURABLE EQUIP",
"identifier": "449260001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.