DR. TRACY GOLDYCH (NPI# 1104130988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104130988 |
| Entity Type | Individual |
| Full Name | DR. TRACY GOLDYCH |
| Credential | D.C. |
| Practice Address |
1140 Burnt Tavern Rd Suite 1c Brick NJ 08724-1496 |
| Practice Telephone | 7328408400 |
| Mailing Telephone | 7328408400 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00685000 | NJ | Chiropractic Providers |
| Street Address |
1140 BURNT TAVERN RD SUITE 1C |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-1496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831178235 | Rosa Ital | Internal Medicine | 1140 Burnt Tavern Rd, Brick, NJ 08724-1496 | 2006-01-13 |
| 1063872497 | Christophe Clinical Therapeutic Services, LLC | Community/Behavioral Health | 1140 Burnt Tavern Rd, Suite 2c, Brick, NJ 08724-1496 | 2016-02-26 |
| 1184082539 | Vladimir Christophe | Counselor | 1140 Burnt Tavern Rd, Suite 2c, Brick, NJ 08724-1496 | 2016-01-31 |
| 1700036597 | Autism Center for Educational Services, LLC | Day Training, Developmentally Disabled Services | 1140 Burnt Tavern Rd, Suite 2c, Brick, NJ 08724-1496 | 2008-09-29 |
| 1265646061 | Jeffrey I Aron | Dentist | 1140 Burnt Tavern Rd, Suite 2d, Brick, NJ 08724 | 2007-05-10 |
| 1215951819 | Brick Women's Physicians | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Suite 2a, Brick, NJ 08724-1496 | 2006-07-27 |
| 1598780033 | Mutahir Ali Abidi | Internal Medicine | 1140 Burnt Tavern Rd, Suite 1b, Brick, NJ 08724-1496 | 2006-07-13 |
| 1457328064 | Paul Louis Vetter | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Ste 2a, Brick, NJ 08724-1496 | 2006-03-02 |
| 1679548663 | Ann Marie Pagano | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Ste 2a, Brick, NJ 08724-1496 | 2006-02-22 |
| 1184699175 | Darlene Monique Morgan | Obstetrics & Gynecology | 1140 Burnt Tavern Rd, Ste 2a, Brick, NJ 08724-1496 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013488105 | Joseph Anthony Orecchio Jr. | Chiropractor | 10 Bark Rd, Brick, NJ 08723-6777 | 2018-12-16 |
| 1104394832 | Tave Clinic LLC | Chiropractor | 101 Prosper Way Ste H, Brick, NJ 08723-3543 | 2018-11-12 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972962413 | Jordon Centofanti | Chiropractor | 1957 Route 88 E, Brick, NJ 08724-3151 | 2016-02-12 |
| 1073970711 | Robert Khamish | Chiropractor | 35 Beaverson Blvd Ste B, Brick, NJ 08723-7812 | 2016-01-26 |
| 1861871113 | Integrative Pain Management Associates | Chiropractor | 29 Bradley Ave, Brick, NJ 08724-8137 | 2015-05-20 |
| 1558789727 | Anthony Alfieri | Chiropractor | 431 Princeton Ave, Brick, NJ 08724-4825 | 2014-04-03 |
| 1770837551 | Adelphia Health Care LLC | Chiropractor | 393 Mantoloking Rd, Suite 6a, Brick, NJ 08723-5773 | 2012-11-01 |
| 1316205859 | Jason Michael Brooks | Chiropractor | 2 Riveredge Drive, Brick, NJ 08724-1339 | 2012-05-02 |
| 1518246149 | Vincent Joseph Iorio Jr. | Chiropractor | 156 Central Blvd, Brick, NJ 08724-2469 | 2011-08-13 |
| Find all providers in BRICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.