- Practice location
- 615 Wyckoff Ave, Wyckoff, NJ 07481-1357
- Phone
- 201-891-4121
- Fax
- 201-891-6489
- Last updated
- November 16, 2007
Gary Goodmark DC PA is a healthcare organization based in Wyckoff, NJ. Gary Goodmark DC PA practices in Wyckoff, NJ. The NPI Number for Gary Goodmark DC PA is 1912989765. The current practice location address for Gary Goodmark DC PA is 615 Wyckoff Ave, Wyckoff, NJ 07481-1357 and can be reached out via phone at 201-891-4121 and via fax at 201-891-6489.
Provider Profile Details
- NPI Number
- 1912989765
- Provider Name
- Gary Goodmark DC PA
- Provider Entity Type
- Organization
- Address
- 615 Wyckoff Ave, Wyckoff, NJ 07481-1357
- Phone Number
- 201-891-4121
- Fax Number
- 201-891-6489
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Gary Victor Goodmark, DC · Doctor · 201-891-4121
- Other Names
- Dr. Gary Goodmark (Other Name)
- Provider Enumeration Date
- November 17, 2005
- Last Update Date
- November 16, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Wyckoff Ave
Wyckoff, NJ 07481-1357 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-1357
- Phone Number
- 201-891-4121
- Fax Number
- 201-891-6489
Provider Business Mailing Address Details
- Address
- 615 Wyckoff Ave
Wyckoff, NJ 07481-1357 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1357
- Phone Number
- 201-891-4121
- Fax Number
- 201-891-6489
License Information
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gary Goodmark DC PA?
The NPI number of Gary Goodmark DC PA is 1912989765. It was assigned on November 17, 2005 and is currently active in the NPPES registry.
What is the specialty of Gary Goodmark DC PA?
Gary Goodmark DC PA is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does Gary Goodmark DC PA practice?
The practice location is 615 Wyckoff Ave, Wyckoff, NJ 07481-1357. The office can be reached at 201-891-4121 (phone) or 201-891-6489 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912989765 directly on the NPPES registry website.