DR. GARY GOODMARK
NPI 1912989765
Chiropractor in Wyckoff, NJ
About Dr. Gary Goodmark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY GOODMARK (NPI 1912989765) is a healthcare organization registered as a chiropractor in Wyckoff, New Jersey and active in the NPI registry since November 2005. The organization lists Gary Victor Goodmark, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gary Goodmark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Gary Goodmark, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Goodmark Dc PA's NPI number?
The NPI number for Gary Goodmark Dc PA is 1912989765. It was assigned to this organization in the NPPES registry on November 17, 2005. The provider is also known as Dr. Gary Goodmark.
Where is Gary Goodmark Dc PA located?
Gary Goodmark Dc PA is located at 615 Wyckoff Ave, Wyckoff, NJ 07481. The listed phone number is (201) 891-4121.
What is Gary Goodmark Dc PA's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Gary Goodmark Dc PA enrolled in Medicare?
Yes. Gary Goodmark Dc PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gary Goodmark Dc PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gary Goodmark Dc PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gary Goodmark Dc PA was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Gary Goodmark · NPI 1912989765
Chiropractor organization in Wyckoff, New Jersey. Organization record, active in the CMS NPPES registry since November 17, 2005.
## Identity
- **NPI:** 1912989765 (Entity type: Organization)
- **Enumerated:** November 17, 2005
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** Gary Goodmark Dc Pa
- **Organization subpart:** No
- **Authorized official:** Gary Goodmark, DOCTOR
## Practice location
- **Address:** 615 WYCKOFF AVE, Wyckoff, NJ 07481-1357
- **Phone:** (201) 891-4121 · **Fax:** (201) 891-6489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2007
- **Other identifiers:** Medicare PIN 521437
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Source: [NPI Profile](https://npiprofile.com/npi/1912989765) · Data from the CMS NPPES public registry.