MEDICARE: JACK GOLD SURGICAL APPLIANCES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	0078924	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285638981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACK GOLD SURGICAL APPLIANCES, INC.

Provider Business Mailing Address
First Line	:	1 EMERY AVE
Second Line	:	SUITE A
City	:	RANDOLPH
State	:	NJ
Zip	:	07869-1387
Country	:	US
Telephone Number	:	973-328-3340
Fax Number	:	973-328-3342

Provider Business Practice Location Address
First Line	:	813 E GATE DR
Second Line	:	SUITE A
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-1238
Country	:	US
Telephone Number	:	856-243-6400
Fax Number	:	856-273-0506

Authorized Official
Title or Position	:	CEO
Name	:	IVAN SABEL
Credential	:
Telephone Number	:	973-328-3340

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	05/11/2026

Similar Medicare Providers

1598760696 — DR. LEONARD FRANKLIN VERNON DC
Practice Location Address:

813 E GATE DR
MOUNT LAUREL, NJ
08054-1238

Practice Phone: 856-222-1322
Practice Fax: 856-222-9632

1588734677 — CHERYL ANN ANGELO O.D.
Practice Location Address:

813 E GATE DR
MOUNT LAUREL, NJ
08054-1238

Practice Phone: 856-642-7600
Practice Fax: 856-608-0501

1649331273 — DR. JAMES FOX CLAIRE D.O.
Practice Location Address:

813 E GATE DR , SUITE B
MOUNT LAUREL, NJ
08054-1238

Practice Phone: 856-222-9965
Practice Fax:

1881742369 — INTEGRATIVE MEDICINE AND BIOFEEDBACK CLINIC
Practice Location Address:

813 E GATE DR STE B
MOUNT LAUREL, NJ
08054-1238

Practice Phone: 856-222-9965
Practice Fax: 856-222-9916

1609070465 — AUTONOMIC CLINICAL SERVICES
Practice Location Address:

813 E GATE DR STE B
MOUNT LAUREL, NJ
08054-1238

Practice Phone: 856-222-9916
Practice Fax:

1336308808 — CHIROPRACTIC PARTNERS, LLC
Practice Location Address:

813 E GATE DR , SUITE C
MOUNT LAUREL, NJ
08054-1238

Practice Phone: 856-222-1322
Practice Fax:

Directions to “JACK GOLD SURGICAL APPLIANCES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.