Organization Active NPI

Elite Chiro PC

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1043405202
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00612000 Issued in NJ
Legal business name
ELITE CHIRO PC
Practice address
49 Morton PL
Jersey City, NJ 07305-1605
Phone
(917) 318-0784
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00612000 NJ Primary

Addresses

Primary practice location

49 Morton PL
Jersey City, NJ 07305-1605

Mailing address

3-16 28TH St
Fair Lawn, NJ 07410-3848
Phone (917) 318-0784

National Provider Directory

National Provider Directory

Locations

5600 Kennedy Blvd W
Ste 108
West New York, NJ 07093
Phone (201) 624-1800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1043405202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-16 28TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103848",
            "telephone_number": "917-318-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MORTON PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051605",
            "telephone_number": "917-318-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-04-30",
        "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.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00612000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.