Shorefront Jewish Geriatric Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7001908L Issued in NY

Legal business name

SHOREFRONT JEWISH GERIATRIC CENTER

Practice address

6323 7TH Ave
Brooklyn, NY 11220-4742

Phone

(718) 630-2510

Fax

(718) 759-4555

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Balko

Title

SRVP Cfo

Phone

(718) 491-7221

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

MJG Nursing Home Company Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Shorefront Jewish Geriatric Center Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1083645238
  NPD tax ID
• Shorefront Jewish Geriatric Center Inc.

  • Institutional Pharmacy
  • Brooklyn, NY
  • NPI 1467487892
  NPD tax ID
• Shorefront Jewish Geriatric Dba MJGC Homecare

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396944625
  NPD tax ID

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1073723789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204742",
            "telephone_number": "718-630-2510",
            "fax_number": "718-759-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204742",
            "telephone_number": "718-630-2510",
            "fax_number": "718-759-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREFRONT JEWISH GERIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "718-491-7221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7001908L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Transportation Inc (Seaside Car Service)
• Shore View Acquisition I, LLC (Shore View Nursing and Rehabilitation Center)
• Dara Shore, LMSW
• Heidi Shore, PA
• Nili Shore
• Shorefront Jewish Geriatric Center
• Shorefront Jewish Geriatric Center Inc.
• Shorefront Jewish Geriatric Center Inc.
• Shorefront Jewish Geriatric Dba MJGC Homecare
• Shorefront Medical Care

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.