Active NPI
Chedva Baras, M.A.
- Specialist
- Brooklyn, NY
National Provider Identifier
1760860365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3563445
- Practice address
- 621 Crown St. #B4
Brooklyn, NY 11213 - Phone
- (347) 721-5812
- NPI assigned
- May 14, 2015
- Last updated
- May 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3563445 | NY | Primary |
Addresses
Primary practice location
621 Crown St. #B4
Brooklyn, NY 11213
Mailing address
621 Crown St. #B4
Brooklyn, NY 11213
Phone (347) 721-5812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102449099 | Medicaid | NY |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3563445 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1760860365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 CROWN ST. #B4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11213",
"telephone_number": "347-721-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 CROWN ST. #B4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11213",
"telephone_number": "347-721-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAS",
"first_name": "CHEDVA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "3563445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102449099",
"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 May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.