Chavrusa Match

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

CHAVRUSA MATCH

Practice address

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

Phone

(718) 614-5317

NPI assigned

Mar 21, 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, RABBI

Title

President

Phone

(718) 614-5317

Specialties & licenses 4

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

  • Supports Brokerage Agency
  • Brooklyn, NY
  • NPI 1205579646
  NPD tax ID
• Chavrusa Match

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

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1982353769",
    "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": "2022-03-21",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-614-5317",
        "authorized_official_credential": "RABBI"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierra Chavis, MHC
• Michelle Chavkin, PSYD
• Mara Beatriz Chavolla-Calderon, MD
• Chavrusa Match
• Chavrusa Match
• Pavida Chaweebong
• Edvic Chawki
• Kabu Chawla, MD
• Leena Devi Chawla
• Neha Chawla, LCAT, LP, FIPA

• Child Intellectual and/or Developmental Disabilities Respite Care in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.