JACK GOLD SURGICAL APPLIANCES, INC. (NPI# 1073745535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073745535 |
| Entity Type | Organization |
| Organization Name | JACK GOLD SURGICAL APPLIANCES, INC. |
| Practice Address |
25-09 Broadway Fair Lawn NJ 07410-3813 |
| Mailing Address |
1 Emery Ave Randolph NJ 07869-1387 |
| Practice Telephone | 2014447750 |
| Practice Fax Number | 2016121323 |
| Mailing Telephone | 9733283340 |
| Mailing Fax Number | 9733283342 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MR. STEVEN CUFF (PRESIDENT) |
| Authorized Official Telephone | 9733283340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0225321 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518037381 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 444 Hurffville Crosskeys Road, Sewell, NJ 08080-2372 | 2006-11-09 |
| 1154348902 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 470 Prospect Ave Ste 102, West Orange, NJ 07052-4106 | 2006-07-17 |
| 1497797898 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 300 East Brown Street, Suite B, East Stroudsburg, PA 18301-3007 | 2006-06-11 |
| 1558334896 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 1 Emery Ave, Randolph, NJ 07869-1308 | 2006-02-08 |
| 1104821495 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 9 Hospital Dr, Suite A5, Toms River, NJ 08755-6425 | 2005-06-15 |
| 1285638981 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 813 E Gate Dr, Suite A, Mount Laurel, NJ 08054-1238 | 2005-06-09 |
| 1083911358 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 6 Minneakoning Rd, 2nd Floor, Flemington, NJ 08822-5728 | 2011-02-22 |
| 1841597242 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 1527 Route 27, Suite 2300, Somerset, NJ 08873-1538 | 2011-02-21 |
| 1578775896 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 190 Brodhead Rd, Suite 215, Bethlehem, PA 18017-8617 | 2007-05-07 |
| 1255468492 | Jack Gold Surgical Appliances, Inc. | Prosthetic/Orthotic Supplier | 1 Emery Ave, Randolph, NJ 07869-1387 | 2007-02-27 |
| Street Address |
25-09 BROADWAY |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356399943 | Rinko Orthopedic Appliances, Inc. | Specialist | 25-09 Broadway, Fair Lawn, NJ 07410-3813 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405673 | Harry J. Lawall & Son, Inc | Prosthetic/Orthotic Supplier | 1973 Highway 34 Harry J. Lawall & Son Inc., Wall, NJ 07719-0007 | 2020-10-22 |
| 1639789340 | Shantise Michelle Cranial Prosthesis | Prosthetic/Orthotic Supplier | 2816 Morris Ave Ste 20b, Union, NJ 07083-4849 | 2020-08-06 |
| 1477185015 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1810 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-4606 | 2020-02-11 |
| 1568020311 | Vine Beauty Supply | Prosthetic/Orthotic Supplier | 615 Rahway Ave, Woodbridge, NJ 07095-3437 | 2019-06-05 |
| 1871066142 | Hair Chalet Multicultural Hair Designers | Prosthetic/Orthotic Supplier | 1632 Springfield Ave, Maplewood, NJ 07040-2414 | 2019-01-09 |
| 1194291575 | Philadelphia Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 709 Somerdale Road, Voorhees, NJ 08043-1313 | 2018-10-23 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1053898379 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 5 Franklin Ave Ste 407, Belleville, NJ 07109-3565 | 2018-07-20 |
| 1104315639 | Next Step Orthopaedics, Inc. | Prosthetic/Orthotic Supplier | 26 Madison Ave Ste 5, Morristown, NJ 07960-7366 | 2018-05-10 |
| 1720580988 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 964 Kinderkamack Rd, River Edge, NJ 07661-2331 | 2018-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.