Active NPIIndividual providerSole proprietor

Ms. Jaclyn R Goss

Occupational Therapist in Summit, New Jersey

NPI Number1912488370
Practice location
41 Springfield Ave, Summit, NJ 07901-4038
Fax
—
Last updated
November 17, 2025

Jaclyn Rae Goss is an Occupational Therapist based in Summit, NJ. Jaclyn Rae Goss practices in Summit, NJ. The NPI Number for Jaclyn Rae Goss is 1912488370 and holds a License No. 08723 (MD). The current practice location address for Jaclyn Rae Goss is 41 Springfield Ave, Summit, NJ 07901-4038 and can be reached out via phone at 908-795-8616.

Provider Profile Details

NPI Number
1912488370
Provider Name
Jaclyn Rae Goss
Provider Entity Type
Individual
Gender
Female
Address
41 Springfield Ave, Summit, NJ 07901-4038
Phone Number
908-795-8616
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2018
Last Update Date
November 17, 2025
Certification Date
November 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Springfield Ave
Summit, NJ 07901-4038
City
Summit
Zip
07901-4038
Phone Number
908-795-8616
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
112 Mount Kemble Ave
Morristown, NJ 07960-5134
City
Morristown
State
NJ
Zip
07960-5134
Phone Number
301-785-2768

License Information

License Number (1)
08723
License State (1)
MD
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR01078300
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jaclyn R Goss?

The NPI number of Ms. Jaclyn R Goss is 1912488370. It was assigned on August 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Jaclyn R Goss?

Ms. Jaclyn R Goss is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MD under license number 08723.

Where does Ms. Jaclyn R Goss practice?

The practice location is 41 Springfield Ave, Summit, NJ 07901-4038. The office can be reached at 908-795-8616 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912488370 directly on the NPPES registry website.

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