Gary Goodmark DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GARY GOODMARK DC PA

Practice address

615 Wyckoff Ave
Wyckoff, NJ 07481-1357

Phone

(201) 891-4121

Fax

(201) 891-6489

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gary Victor Goodmark, D.C.NPI 1952383739

Title

Doctor

Phone

(201) 891-4121

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gary Goodmark Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Victor Goodmark, D.C.

  • Chiropractor
  • Wyckoff, NJ
  • NPI 1952383739
  Medicare reassignment NPD Authorized official
• Barbara Holub Bizub, D.C.

  • Chiropractor
  • Wyckoff, NJ
  • NPI 1164671053
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1912989765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811357",
            "telephone_number": "201-891-4121",
            "fax_number": "201-891-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811357",
            "telephone_number": "201-891-4121",
            "fax_number": "201-891-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GOODMARK DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "GOODMARK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-891-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gary Goodmark",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer M Galan, APN-BC
• Kathleen S Galasso
• David Joseph Gallina, M.D.,
• Nancy Burleigh Gallina, PHD
• Joseph J Gartner, MD
• Mary Geen
• Carole Gelfer, PH.D.
• Genesis Rehab Servises
• George J. Martino, MD, PA
• Youstina M Gerges, DPT

• Chiropractor in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.