Individual provider Active NPI

Chava Goldie Benedikt

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1669784070
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7119443 Issued in NY
Practice address
18 Middleton St
Brooklyn, NY 11206-5415
Phone
(718) 875-6900
Fax
(718) 875-3282
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7119443 NY Primary

Addresses

Primary practice location

18 Middleton St
Brooklyn, NY 11206-5415

Mailing address

18 Middleton St
Brooklyn, NY 11206-5415
Phone (718) 875-6900

Other identifiers 1

IdentifierTypeStateIssuer
0007119443MedicaidNY

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
I20250107001225 NY Practitioner - Clinical Social Worker 8921536897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081192NYMDSocial Worker
7119443NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pesach Tikvah Hope Development Inc CurrentSince Nov 4, 2024 Accepting new patients
Pesach Tikvah Hope Development Inc Social Worker CurrentSince Nov 4, 2024 Accepting new patients

Locations

926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 865-6900

5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190

18 Middleton St
Brooklyn, NY 11206
Phone (718) 875-6993

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1669784070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDIKT",
        "first_name": "CHAVA",
        "middle_name": "GOLDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "7119443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007119443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.