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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK GOLD SURGICAL APPLIANCES, INC.
NPI 1073745535
Prosthetic/Orthotic Supplier in Fair Lawn, NJ

Active since August 18, 2009
25-09 BROADWAY, FAIR LAWN, NJ 07410(201) 444-7750(201) 612-1323 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, May 11, 2026, Apr 4, 2021 and 1 more (4 updates tracked since 2019).

About Jack Gold Surgical Appliances, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK GOLD SURGICAL APPLIANCES, INC. (NPI 1073745535) is a healthcare organization registered as a prosthetic/orthotic supplier in Fair Lawn, New Jersey and active in the NPI registry since August 2009. The organization lists Ivan Sabel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073745535
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameJACK GOLD SURGICAL APPLIANCES, INC.
Location Address25-09 BROADWAYFair Lawn, NJ 07410-3813
Mailing Address1 Emery AveRandolph, NJ 07869-1387 · (973) 328-3340 · Fax (973) 328-3342
Phone(201) 444-7750
Fax(201) 612-1323
Organization SubpartNo
Authorized OfficialIvan SabelCeo · (973) 328-3340
Enumeration DateAugust 18, 2009
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1073745535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
25-09 BROADWAY, Fair Lawn, NJ 07410
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Other Identifiers 1

Medicaid0225321NJ

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Gold Surgical Appliances, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20100930081785DME · Certified Orth/Pros/PedorthistDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Allied Op Inc carries, from the Medicare DMEPOS supplier directory.

Allied Op Inc

DMEPOS supplier · Fair Lawn, NJOperated by Jack Gold Surgical Appliances, Inc.
⋮

Does not accept Medicare assignment

Allied Op Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20640245
Medicare Participant SinceJanuary 1, 1998
Supplier Location25-09 BroadwayFair Lawn, NJ 07410
Phone(201) 796-3121
Provider TypePedorthic Personnel · Medical Supply Company With Pedorthic Personnel
Supplier Specialties
MSC With Orthotic Personnel MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RINKO ORTHOPEDIC APPLIANCES, INC.
Specialist
25-09 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 796-3121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Gold Surgical Appliances, Inc.'s NPI number?

The NPI number for Jack Gold Surgical Appliances, Inc. is 1073745535. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Jack Gold Surgical Appliances, Inc. located?

Jack Gold Surgical Appliances, Inc. is located at 25-09 Broadway, Fair Lawn, NJ 07410. The listed phone number is (201) 444-7750.

What is Jack Gold Surgical Appliances, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Is Jack Gold Surgical Appliances, Inc. enrolled in Medicare?

Yes. Jack Gold Surgical Appliances, Inc. is registered in the Medicare PECOS enrollment system.

When is Jack Gold Surgical Appliances, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Certified Orth/Pros/Pedorthist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Jack Gold Surgical Appliances, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Allied Op Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Jack Gold Surgical Appliances, Inc. was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.