GOLD STAR PEDIATRICS PA – NPI #1669129342
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

GOLD STAR PEDIATRICS PA is a provider located in NORTH PORT, FL. NPPES has assigned the NPI number 1669129342 to GOLD STAR PEDIATRICS PA on March 03, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 3 years ago on Jan 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLD STAR PEDIATRICS PA below.

NPI Profile for
GOLD STAR PEDIATRICS PA

NPI Number
1669129342
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOLD STAR PEDIATRICS PA
Primary location
3149 BOBCAT VILLAGE CENTER RD # 14
NORTH PORT, FL 34288-8974
Phone: (732) 309-1292 Fax:
1 Other location(s):
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone: (941) 266-5629
Fax: (941) 200-4242
Mailing address
1400 LAKE BREEZE CT
NORTH PORT, FL 34291-8023
Phone: (732) 309-1292 Fax:
Organization Subpart
No
Authorized Official
JIGNESH PATEL
PRESIDENT
Phone: (941) 266-5629
Updated
Certification Date
Jan 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GOLD STAR PEDIATRICS PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPIFL1003082280
medicaidFL281244400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.