Organization Active NPI

Joseph F Gold DO PC

  • Family Medicine Physician
  • Phila, PA
National Provider Identifier
1861576571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOSEPH F GOLD DO PC
Practice address
4817 N Broad St
Phila, PA 19141
Phone
(215) 457-7700
Fax
(215) 457-0386
NPI assigned
Oct 25, 2006
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
Dr. Joseph Frank Gold, DO
Title
Physician Pres of Corp
Phone
(215) 457-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4817 N Broad St
Phila, PA 19141

Mailing address

4817 N Broad St
Phila, PA 19141
Phone (215) 457-7700

Other identifiers 2

IdentifierTypeStateIssuer
0613520MedicaidPA
0S003311LOtherLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

4817 N Broad St
Philadelphia, PA 19141
Phone (215) 457-7700

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861576571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-457-7700",
            "fax_number": "215-457-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-457-7700",
            "fax_number": "215-457-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH F GOLD DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN PRES OF CORP",
        "authorized_official_telephone_number": "215-457-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613520",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0S003311L",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

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.