DR. GARY VICTOR GOODMARK D.C.
NPI 1952383739
Chiropractor in Wyckoff, NJ
About Dr. Gary Victor Goodmark D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY VICTOR GOODMARK D.C. (NPI 1952383739) is an individual chiropractor in Wyckoff, New Jersey, licensed in New Jersey (MC01446) and active in the NPI registry since November 2005. He is a graduate of Columbia Institute Chiropractic (1975).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gary Victor Goodmark D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gary Goodmark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wyckoff, NJ 07481
- Reassigned Medicare billing, New Jersey enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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's NPI number?
The NPI number for Gary Goodmark is 1952383739. It was assigned to this individual provider in the NPPES registry on November 16, 2005.
Where is Gary Goodmark located?
Gary Goodmark practices at 615 Wyckoff Ave, Wyckoff, NJ 07481. The listed phone number is (201) 891-4121.
What is Gary Goodmark's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Gary Goodmark enrolled in Medicare?
Yes. Gary Goodmark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gary Goodmark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Goodmark reassigns Medicare benefits to Gary Goodmark Dc PA (Wyckoff, NJ). The 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 Gary Goodmark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gary Goodmark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 Victor Goodmark, D.C. · NPI 1952383739
Chiropractor provider in Wyckoff, New Jersey. Individual provider, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1952383739 (Entity type: Individual)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** MC01446 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 WYCKOFF AVE, Wyckoff, NJ 07481-1357
- **Phone:** (201) 891-4121 · **Fax:** (201) 891-6489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Gary Goodmark Dc PA (NPI 1912989765, Wyckoff, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia Institute Chiropractic, class of 1975
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1952383739) · Data from the CMS NPPES public registry.