Active NPI
Joel Jay Goldwasser, D.C.
- Chiropractor
- Baltimore, MD
National Provider Identifier
1508946187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01148
- Practice address
- 9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123 - Phone
- (410) 882-0720
- Fax
- (410) 882-6767
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01148 | MD | Primary |
Addresses
Primary practice location
9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123
Mailing address
3406 Birch Hollow Rd
Baltimore, MD 21208-1839
Phone (410) 484-6718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32162001 | Other | MD | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carney Chiropractic Center,LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Baltimore, MD
- NPI 1073693602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508946187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 BIRCH HOLLOW RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081839",
"telephone_number": "410-484-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 HARFORD RD",
"address_2": "SUITE 1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343123",
"telephone_number": "410-882-0720",
"fax_number": "410-882-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDWASSER",
"first_name": "JOEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "01148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "32162001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.