Individual provider Active NPI

Gary Victor Golembiewski, D.C.

  • Chiropractor
  • Park Ridge, NJ
National Provider Identifier
1508950585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00243600 Issued in NJ
Practice address
90 Spring Valley Rd
Park Ridge, NJ 07656-1855
Phone
(201) 476-9191
Fax
(201) 307-1996
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

90 Spring Valley Rd
Park Ridge, NJ 07656-1855

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00243600 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

90 Spring Valley Rd
Park Ridge, NJ 07656-1855

Mailing address

90 Spring Valley Rd
Park Ridge, NJ 07656-1855
Phone (201) 476-9191

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508950585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SPRING VALLEY RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561855",
            "telephone_number": "201-476-9191",
            "fax_number": "201-307-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SPRING VALLEY RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561855",
            "telephone_number": "201-476-9191",
            "fax_number": "201-307-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBIEWSKI",
        "first_name": "GARY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00243600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, 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 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.