MRS. CLAIRE GULDEN PA-C
NPI 1558427401
Physician Assistant - Medical in Forked River, NJ

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
1001 LACEY RD, FORKED RIVER, NJ 08731(609) 693-8900(609) 971-2888 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 12, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Mrs. Claire Gulden Pa-c NPPES

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

MRS. CLAIRE GULDEN PA-C (NPI 1558427401) is an individual medical provider in Forked River, New Jersey, licensed in New Jersey (25MP00022600) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1558427401
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. CLAIRE GULDENCredential: PA-C
Location Address1001 LACEY RDForked River, NJ 08731-1042
Mailing Address1001 Lacey RoadForked River, NJ 08731-2511 · (609) 693-8900 · Fax (609) 971-2888
Fax(609) 971-2888
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1558427401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00022600
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00022600 (NJ)
1001 LACEY RD, Forked River, NJ 08731

Other Identifiers 2

Other25MP00022600NJ · License #
OtherA00028400NJ · Cds #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Claire Gulden Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901964378
PECOS Enrollment IDI20081029000497
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
291 services179 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
130 services130 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services58 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
62 services59 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
53 services53 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers30 claims48 services$5.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Specialist
1001 LACEY RD
FORKED RIVER, NJ 08731

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 Claire Gulden's NPI number?

The NPI number for Claire Gulden is 1558427401. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Claire Gulden located?

Claire Gulden practices at 1001 Lacey Rd, Forked River, NJ 08731. The listed phone number is (609) 693-8900.

What is Claire Gulden's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Claire Gulden enrolled in Medicare?

Yes. Claire Gulden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Claire Gulden accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Claire Gulden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Claire Gulden affiliated with any hospitals?

According to CMS data, Claire Gulden is affiliated with Community Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Gulden was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.