Organization
JACK GOLD SURGICAL APPLIANCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(973) 328-3340
Entity
Organization
Contact information
Practice address
25-09 BROADWAY, FAIR LAWN, NJ 07410-3813
(201) 444-7750
(201) 612-1323
Mailing address
1 EMERY AVE, RANDOLPH, NJ 07869-1387
(973) 328-3340
(973) 328-3342
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225321
—
NJ
Enumeration date
08/18/2009
Last updated
05/11/2026
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