Organization Active NPI

Avan-Gard Chiropractic P.C.

  • Internist Chiropractor
  • Brooklyn, NY
National Provider Identifier
1467564807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
X010033 Issued in NY
Legal business name
AVAN-GARD CHIROPRACTIC P.C.
Practice address
8008 Flatlands Ave
Brooklyn, NY 11236-3534
Phone
(718) 376-2010
Fax
(718) 616-0086
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Gorelik, CHIROPRACTORNPI 1891797411
Title
President
Phone
(718) 376-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X X010033 NY Primary

Addresses

Primary practice location

8008 Flatlands Ave
Brooklyn, NY 11236-3534

Mailing address

2790 Bragg St
Suite 403
Brooklyn, NY 11235-1146
Phone (718) 376-2010

National Provider Directory

National Provider Directory

Locations

8008 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 373-5146

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467564807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 BRAGG ST",
            "address_2": "SUITE 403",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351146",
            "telephone_number": "718-376-2010",
            "fax_number": "718-616-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363534",
            "telephone_number": "718-376-2010",
            "fax_number": "718-616-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAN-GARD CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORELIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-376-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "NY",
            "license": "X010033",
            "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 22, 2020; 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.