Revive Empire Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVIVE EMPIRE CHIROPRACTIC PLLC

Practice address

396 Union Ave
Brooklyn, NY 11211-3429

Phone

(718) 608-4107

NPI assigned

Aug 8, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Majlinda Avdiu, DCNPI 1003305194

Title

Chiropractor

Phone

(718) 608-4107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Majlinda Avdiu, DC

  • Chiropractor
  • Brooklyn, NY
  • NPI 1003305194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1245967470",
    "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": {
        "organization_name": "REVIVE EMPIRE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "AVDIU",
        "authorized_official_first_name": "MAJLINDA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "718-608-4107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonora Revich, M.D.
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• Jonna Lynn Revitz, LMSW
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• Revival Pharmacy LLC (Citywide Pharmacy)
• Revived Medical Ipa LLC
• Revived Soul Medical PC
• Revolution Physiotherapy PLLC
• Svetlana Revutsky, M.S.ED, BCBA, LBA
• Joseph Revzin, RRT

• Chiropractor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.