Individual provider Active NPI

Domonique Chiffon Govan

  • Case Manager/Care Coordinator
  • Brooklyn, NY
National Provider Identifier
1679438469
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
395 Livonia Ave Apt 5H
Brooklyn, NY 11212-7236
Phone
(917) 743-1158
NPI assigned
Dec 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NY Primary

Addresses

Primary practice location

395 Livonia Ave Apt 5H
Brooklyn, NY 11212-7236

Mailing address

395 Livonia Ave Apt 5H
Brooklyn, NY 11212-7236
Phone (917) 743-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1679438469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 LIVONIA AVE APT 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127236",
            "telephone_number": "917-743-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 LIVONIA AVE APT 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127236",
            "telephone_number": "917-743-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVAN",
        "first_name": "DOMONIQUE",
        "middle_name": "CHIFFON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2026; 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.