Organization Active NPI

1975 Victory Chiropractic PC

  • Medical Specialty Clinic/Center
  • Staten Island, NY
National Provider Identifier
1891662987
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
1975 VICTORY CHIROPRACTIC PC
Practice address
1975 Victory Blvd
Staten Island, NY 10314-3553
Phone
(718) 203-8518
Fax
(718) 223-5853
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Dr. Marina Gadaborshev, DC
Title
Chiropractor/Owner
Phone
(973) 519-6302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

1975 Victory Blvd
Staten Island, NY 10314-3553

Mailing address

1975 Victory Blvd
Staten Island, NY 10314-3553
Phone (718) 203-8518

National Provider Directory

National Provider Directory

Locations

1975 Victory Blvd
Staten Island, NY 10314
Phone (646) 515-6898

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1891662987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143553",
            "telephone_number": "718-203-8518",
            "fax_number": "718-223-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143553",
            "telephone_number": "718-203-8518",
            "fax_number": "718-223-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1975 VICTORY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "GADABORSHEV",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "973-519-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.