{"npi":"1154348902","type":"NPI-2","status":"active","name":{"display":"Jack Gold Surgical Appliances, Inc.","other":[],"organization_name":"JACK GOLD SURGICAL APPLIANCES, INC.","authorised_official":"Ivan Sabel"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":"NJ","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1001 PLEASANT VALLEY WAY STE 3","city":"WEST ORANGE","state":"NJ","postal_code":"070521426","country_code":"US","phone":"9733204003","fax":"9733204046"},{"purpose":"MAILING","street_1":"1001 PLEASANT VALLEY WAY STE 3","city":"WEST ORANGE","state":"NJ","postal_code":"070521426","country_code":"US","phone":"9733204003","fax":"9733204046"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"065978","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930083288","type_code":"30-57","type_desc":"DME SUPPLIER - CERTIFIED ORTH/PROS/PEDORTHIST","state":"NJ","pac_id":"9830215490"}]},"enumeration_date":"2006-07-17","last_updated":"2026-05-11","_meta":{"source":"NPPES","snapshot_date":"2026-05-11","doc_url":"https://findmynpi.com/api"}}