Individual provider Active NPI

Steven Kyle Goldman, D.C.

  • Chiropractor
  • Manalapan, NJ
National Provider Identifier
1285843953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00496600 Issued in NJ
Practice address
224 Taylor Mills Rd
Suite 105a
Manalapan, NJ 07726-3281
Phone
(732) 577-9600
Fax
(732) 577-0062
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00496600 NJ Primary
Chiropractor 111N00000X X008199 NY
Chiropractor 111N00000X DC 006685 L PA

Addresses

Primary practice location

224 Taylor Mills Rd
Suite 105a
Manalapan, NJ 07726-3281

Mailing address

224 Taylor Mills Rd
Suite 105a
Manalapan, NJ 07726-3281
Phone (732) 577-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120309000357 NJ Practitioner - Chiropractic 8921267063 Practice locations: Manalapan, NJ
I20240807002942 DE Practitioner - Chiropractic 8921267063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dih CampGroup PAC ID 4486045499, 4 clinicians

Practice addresses (Care Compare)

272 Carter Dr
Suite 120
Middletown, DE 19709-5850
Phone (302) 378-5110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008199NYMDChiropractor
DC 006685 LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dih Camp CurrentSince Jul 1, 2024 Accepting new patients

Locations

272 Carter Dr
Ste 120
Middletown, DE 19709
Phone (302) 378-5110

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285843953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TAYLOR MILLS RD",
            "address_2": "SUITE 105A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-577-9600",
            "fax_number": "732-577-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TAYLOR MILLS RD",
            "address_2": "SUITE 105A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-577-9600",
            "fax_number": "732-577-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STEVEN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00496600",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008199",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 006685 L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.