Organization Active NPI

Chiropractic Longevity PC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1013144526
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011676 Issued in NY
Legal business name
CHIROPRACTIC LONGEVITY PC
Practice address
2349 Benson Ave # C
Brooklyn, NY 11214-4351
Phone
(917) 318-0784
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Vlad Pogildakov
Title
President
Phone
(917) 318-0784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011676 NY Primary

Addresses

Primary practice location

2349 Benson Ave # C
Brooklyn, NY 11214-4351

Mailing address

2349 Benson Ave Apt 2G
Brooklyn, NY 11214-4343
Phone (917) 318-0784

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1013144526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 BENSON AVE APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144343",
            "telephone_number": "917-318-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 BENSON AVE # C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144351",
            "telephone_number": "917-318-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LONGEVITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "POGILDAKOV",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-318-0784",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011676",
            "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 Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.