MS. JACLYN RAE GOSS
NPI 1912488370
Occupational Therapist in Summit, NJ
About Ms. Jaclyn Rae Goss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACLYN RAE GOSS (NPI 1912488370) is an individual occupational therapist in Summit, New Jersey, licensed in New Jersey (46TR01078300) and active in the NPI registry since August 2018. She maintains 2 additional practice locations and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jaclyn Rae Goss 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Goss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMMIT, NJ 07901
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 Jaclyn Goss's NPI number?
The NPI number for Jaclyn Goss is 1912488370. It was assigned to this individual provider in the NPPES registry on August 23, 2018.
Where is Jaclyn Goss located?
Jaclyn Goss practices at 41 Springfield Ave, Summit, NJ 07901. The listed phone number is (908) 795-8616.
What is Jaclyn Goss's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jaclyn Goss enrolled in Medicare?
Yes. Jaclyn Goss 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.
Which organization bills Medicare for Jaclyn Goss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Goss reassigns Medicare benefits to Life Home Therapy LLC (Livingston, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Goss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaclyn Goss was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.