NPIMap

Organization Active NPI

Shorefront Jewish Geriatric Center Inc.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1083645238
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5902610 Issued in NY
Legal business name
SHOREFRONT JEWISH GERIATRIC CENTER INC.
Practice address
6405 7TH Ave
Brooklyn, NY 11220-4731
Phone
(718) 921-7968
Fax
(718) 759-4049
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Alexander Balko
Title
Sr.VP/Chief Financial Officer
Phone
(718) 491-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5902610 NY Primary

Addresses

Primary practice location

6405 7TH Ave
Brooklyn, NY 11220-4731

Mailing address

6323 7TH Ave
Brooklyn, NY 11220-4742
Phone (718) 630-2510

Other identifiers 1

IdentifierTypeStateIssuer
00891474MedicaidNY

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1083645238",
    "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": "718-759-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204731",
            "telephone_number": "718-921-7968",
            "fax_number": "718-759-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREFRONT JEWISH GERIATRIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SR.VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-491-7221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "5902610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00891474",
            "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 5, 2010; 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.