Individual provider Active NPI

Chedva R Strait, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1134870314
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348979 Issued in NY
Practice address
205 W 15TH St Apt 1B
New York, NY 10011-6413
Phone
(646) 503-5202
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F348979 NY Primary

Addresses

Primary practice location

205 W 15TH St Apt 1B
New York, NY 10011-6413

Mailing address

7 Belmont Ave
Clifton, NJ 07012-1809
Phone (973) 930-2419

Other identifiers 1

IdentifierTypeStateIssuer
2021182545OtherAMERICAN NURSES CREDENTIALING CENTER

Other names 1

  • Chedva R Gewirtz Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MDHQ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 18, 2022 through Aug 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F348979NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1134870314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BELMONT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121809",
            "telephone_number": "973-930-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 15TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116413",
            "telephone_number": "646-503-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAIT",
        "first_name": "CHEDVA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2021182545",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MDHQ",
            "affiliation": "N",
            "address_1": "205 W 15th St Apt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100116413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHEDVA",
            "last_name": "GEWIRTZ",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.