Active NPI
Gary Victor Goodmark, D.C.
- Chiropractor
- Wyckoff, NJ
National Provider Identifier
1952383739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC01446
- Practice address
- 615 Wyckoff Ave
Wyckoff, NJ 07481-1357 - Phone
- (201) 891-4121
- Fax
- (201) 891-6489
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 | MC01446 | NJ | Primary |
Addresses
Primary practice location
615 Wyckoff Ave
Wyckoff, NJ 07481-1357
Mailing address
615 Wyckoff Ave
Wyckoff, NJ 07481-1357
Phone (201) 891-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Columbia Institute Chiropractic, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
574 Franklin Ave
Franklin Lakes, NJ 07417-2511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC01446 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Goodmark DC PA | Chiropractor | Current | Accepting new patients |
Locations
574 Franklin Ave
Ste 4
Franklin Lks, NJ 07417
Phone (201) 891-4121
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
- Wyckoff, NJ
- NPI 1912989765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952383739",
"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": {
"last_name": "GOODMARK",
"first_name": "GARY",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC01446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.