Individual provider Active NPI

Joan Marie Wheatley-Goldstein, DC

  • Chiropractor
  • Haworth, NJ
National Provider Identifier
1538101118
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00335500 Issued in NJ
Practice address
342 Schraalenburgh Rd
Haworth, NJ 07641-1229
Phone
(201) 387-6200
Fax
(201) 439-1192
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00335500 NJ Primary

Addresses

Primary practice location

342 Schraalenburgh Rd
Haworth, NJ 07641-1229

Mailing address

342 Schraalenburgh Rd
Haworth, NJ 07641-1229
Phone (201) 387-6200

Other names 1

  • Dr. Joan Marie Wheatley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000387 NJ Practitioner - Chiropractic 0446412274 Practice locations: Haworth, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

342 Schraalenburgh Rd
Haworth, NJ 07641-1229
Phone (201) 387-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1538101118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 SCHRAALENBURGH RD",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411229",
            "telephone_number": "201-387-6200",
            "fax_number": "201-439-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 SCHRAALENBURGH RD",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411229",
            "telephone_number": "201-387-6200",
            "fax_number": "201-439-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY-GOLDSTEIN",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00335500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "WHEATLEY",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.