Individual provider Active NPI

Cohava Kasaev-Chanimov, CNM

  • Advanced Practice Midwife
  • Bronx, NY
National Provider Identifier
1003219312
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001645 Issued in NY
Practice address
4166A White Plains Rd
Bronx, NY 10466-3020
Phone
(718) 696-6262
Fax
(718) 696-6260
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 001645 NY Primary

Addresses

Primary practice location

4166A White Plains Rd
Bronx, NY 10466-3020

Mailing address

4166A White Plains Rd
Bronx, NY 10466-3020
Phone (718) 696-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000490 NY Practitioner - Certified Nurse Midwife (CNM) 2860748654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York Downstate Medical Center, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4166 A White Plains Rd
Bronx, NY 10466-3020
Phone (718) 696-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St. Barnabas OB GYN, PC CurrentSince Oct 16, 2018 Accepting new patients
Attentive Midwifery P.C. Advanced Practice Midwife CurrentSince May 14, 2018 Accepting new patients

Locations

4166A White Plains Rd
Bronx, NY 10466
Phone (718) 696-6262

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBDEBD/Endpoint/BBDEBD
  • Direct secure messaging: ckasaevchanimov18813@sbhny.direct-ci.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1003219312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166A WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663020",
            "telephone_number": "718-696-6262",
            "fax_number": "718-696-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166A WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663020",
            "telephone_number": "718-696-6262",
            "fax_number": "718-696-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAEV-CHANIMOV",
        "first_name": "COHAVA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.