Active NPI
JGB Health Facilities Corporation
- Skilled Nursing Facility
- New York, NY
National Provider Identifier
1053391433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5907313N
- Legal business name
- JGB HEALTH FACILITIES CORPORATION
- Practice address
- 15 W 65TH St
New York, NY 10023-6601 - Phone
- (212) 769-6212
- Fax
- (212) 875-9461
- NPI assigned
- Jan 20, 2006
- 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
- Mr. Bruce Andrew Mastalinski, MBA
- Title
- Executive Vice President
- Phone
- (212) 769-6212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5907313N | NY | Primary |
Addresses
Primary practice location
15 W 65TH St
New York, NY 10023-6601
Mailing address
15 W 65TH St
New York, NY 10023-6601
Phone (212) 769-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309320 | Medicaid | NY |
Other names 1
- Guild Home for Aged Blind
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229990400000",
"number": "1053391433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W 65TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236601",
"telephone_number": "212-769-6212",
"fax_number": "212-875-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W 65TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236601",
"telephone_number": "212-769-6212",
"fax_number": "212-875-9461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JGB HEALTH FACILITIES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2008-12-23",
"status": "A",
"authorized_official_last_name": "MASTALINSKI",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "212-769-6212",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5907313N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00309320",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Guild Home for Aged Blind",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.