Chavrusa Match

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

CHAVRUSA MATCH

Practice address

287 Division Ave Apt 3D
Brooklyn, NY 11211-7326

Phone

(718) 614-5317

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Samuel Goldstein

Title

Owner

Phone

(718) 614-5317

Specialties & licenses 1

Addresses

Tax ID family

Chavrusa Match3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chavrusa Match

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1356081350
  NPD tax ID
• Chavrusa Match

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Brooklyn, NY
  • NPI 1982353769
  NPD tax ID

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1205579646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 DIVISION AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117326",
            "telephone_number": "718-614-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 DIVISION AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117326",
            "telephone_number": "718-614-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVRUSA MATCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-614-5317"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Paul Chavez, MHC
• Mallory Chavis
• Tierra Chavis, MHC
• Michelle Chavkin, PSYD
• Mara Beatriz Chavolla-Calderon, MD
• Chavrusa Match
• Chavrusa Match
• Pavida Chaweebong
• Edvic Chawki
• Kabu Chawla, MD

• Supports Brokerage Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Supports Brokerage Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.