Shorefront Jewish Geriatric Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7001376N Issued in NY

Legal business name

SHOREFRONT JEWISH GERIATRIC CENTER

Practice address

3015 W 29TH St
Brooklyn, NY 11224-1901

Phone

(718) 266-5700

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Balko

Title

Senior Vice President and Cfo

Phone

(718) 491-7221

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Marchello, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1922196070
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1174551741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 W 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241901",
            "telephone_number": "718-266-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 W 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241901",
            "telephone_number": "718-266-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREFRONT JEWISH GERIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "718-491-7221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001376N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Shorefront Operating LLC

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.