Jlgandsons

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

5984841 Issued in NY

Legal business name

JLGANDSONS

Practice address

291 Virginia Ave
Jersey City, NJ 07304-1420

Phone

(201) 655-4478

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aura S Guerrero, MSRN

Title

Director

Phone

(201) 655-4478

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1184029589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 VIRGINIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041420",
            "telephone_number": "201-655-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 VIRGINIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041420",
            "telephone_number": "201-655-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLGANDSONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "AURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-655-4478",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSRN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "5984841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Custodial Care Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.