| NPI | 1104821495 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-06-15 |
| Last Updated | 2026-05-13 |
| Authorized Official | Ivan Sabel CEO Phone: 9733283340 |
| Mailing Address | 1 Emery Avenue Randolph, NJ 07869 United States Phone: (973) 328-3340 | Fax: (973) 328-3342 📍 View Map |
| Primary Practice Address | 9 Hospital Dr, Suite A5 Toms River, NJ 08755-6425 United States Phone: (732) 341-9191 | Fax: (732) 341-9222 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NJ | 6274404 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 335E00000X – Prosthetic/Orthotic Supplier | - | - |
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About NPI 1104821495
Jack Gold Surgical Appliances, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104821495. The primary specialty listed is Prosthetic/Orthotic Supplier. The organization is located in Toms River, NJ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104821495?
NPI 1104821495 belongs to Jack Gold Surgical Appliances, Inc., a Prosthetic/Orthotic Supplier in Toms River, NJ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104821495 active?
The current status of NPI 1104821495 in the NPPES registry is Active. The record was last updated on 2026-05-13.
What specialty is NPI 1104821495?
NPI 1104821495 is classified under the taxonomy Prosthetic/Orthotic Supplier. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104821495?
You can verify NPI 1104821495 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104821495?
The primary practice address on file for NPI 1104821495 is 9 Hospital Dr, Toms River, NJ 08755-6425. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104821495 issued?
NPI 1104821495 was first issued (enumerated) on 2005-06-15. The NPPES record was last updated on 2026-05-13.
Practice Location Map
Jack Gold Surgical Appliances, Inc. is located at 9 Hospital Dr, Toms River, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jack Gold Surgical Appliances, Inc.. All records sourced from the CMS NPPES registry.