Active NPI
Gary Victor Golembiewski, D.C.
- Chiropractor
- Park Ridge, NJ
National Provider Identifier
1508950585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00243600
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00243600 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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.