Active NPI
MJG Nursing Home Inc.
- Institutional Pharmacy
- Brooklyn, NY
National Provider Identifier
1184642290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 014788
- Legal business name
- MJG NURSING HOME INC.
- Practice address
- 4915 10TH Ave
Brooklyn, NY 11219-3301 - Phone
- (718) 851-3700
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 22, 2020
- 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. Alexander Balko
- Title
- Senior Vice President and Cfo
- Phone
- (718) 491-7221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 014788 | NY | Primary |
Addresses
Primary practice location
4915 10TH Ave
Brooklyn, NY 11219-3301
Mailing address
4915 10TH Ave
Brooklyn, NY 11219-3301
Phone (718) 851-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01538614 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- MJG Nursing Home Co Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba MJG Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1871772608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184642290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193301",
"telephone_number": "718-851-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193301",
"telephone_number": "718-851-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJG NURSING HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"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": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NY",
"license": "014788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01538614",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Mja Health LLC
- Mja Medical Practice, PLLC
- MJC Medical Care PC
- MJG Nursing Home Company Inc
- MJG Nursing Home Company, Inc (MJG Palliative Care)
- MJG Nursing Home Inc. (Metropolitan Jewish Geriatric Center)
- MJHC Home Care, Inc.
- MJHS Medical Associates
- Mji Speech and Language Therapy P.C.
- MJM RX Corp (Excel Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.