Individual provider Active NPI

Majlinda Avdiu, DC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1003305194
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013082 Issued in NY
Practice address
396 Union Ave
Brooklyn, NY 11211-3429
Phone
(718) 608-4107
NPI assigned
May 4, 2018
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013082 NY Primary

Addresses

Primary practice location

396 Union Ave
Brooklyn, NY 11211-3429

Mailing address

4490 Hylan Blvd
Staten Island, NY 10312-6425
Phone (718) 608-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823000702 NY Practitioner - Chiropractic 9830448943 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013082NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Empire Chiropractic PLLC Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Everest Chiropractic, P.C CurrentSince Jul 2, 2018 Accepting new patients

Locations

396 Union Ave
Brooklyn, NY 11211
Phone (718) 608-4107

415 W 57th St
Ste Bc
New York, NY 10019
Phone (212) 246-0030

57 W 57th St
Ste 1003
New York, NY 10019
Phone (212) 888-8180

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1003305194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126425",
            "telephone_number": "718-608-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 UNION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113429",
            "telephone_number": "718-608-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVDIU",
        "first_name": "MAJLINDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.