Active NPI
Chevra LLC
- Community/Behavioral Health Agency
- Brooklyn, NY
National Provider Identifier
1427840875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHEVRA LLC
- Practice address
- 1622 Coney Island Ave
Brooklyn, NY 11230-4700 - Phone
- (718) 916-0609
- NPI assigned
- May 21, 2025
- Last updated
- Jul 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Churba
- Title
- Manager
- Phone
- (718) 916-0609
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1622 Coney Island Ave
Brooklyn, NY 11230-4700
Mailing address
1435 E 18TH St
Brooklyn, NY 11230-6705
Phone (718) 916-0609
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0581 | Medicaid | NY | |
| 0560 | Medicaid | NY | |
| 0580 | Medicaid | NY | |
| 0591 | Medicaid | NY | |
| 0582 | Medicaid | NY | |
| 0590 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1622 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 916-0609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1427840875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 E 18TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306705",
"telephone_number": "718-916-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304700",
"telephone_number": "718-916-0609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEVRA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-21",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "CHURBA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-916-0609"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0581",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0560",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0580",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0591",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0582",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0590",
"state": "NY"
}
],
"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 Jul 2, 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.