Active NPI
Vlad Pogildakov, DC
- Chiropractor
- Linden, NJ
National Provider Identifier
1174552889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00612000
- Practice address
- 1201 Deerfield Ter
Linden, NJ 07036-5523 - Phone
- (646) 546-8701
- Fax
- (908) 486-3325
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00612000 | NJ | Primary |
Addresses
Primary practice location
1201 Deerfield Ter
Linden, NJ 07036-5523
Mailing address
2349 Benson Ave
2G
Brooklyn, NY 11214-4351
Phone (917) 318-0784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00612000 | NJ | MD | Chiropractor |
| 011676 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Medical Day Care Corp. of Bayonne | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Day Care Clinic/Center
- Bayonne, NJ
- NPI 1891847919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1174552889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 BENSON AVE",
"address_2": "2G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144351",
"telephone_number": "917-318-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 DEERFIELD TER",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070365523",
"telephone_number": "646-546-8701",
"fax_number": "908-486-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGILDAKOV",
"first_name": "VLAD",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00612000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.