Organization Active NPI

Daughters of Jacob Nursing Home Co

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1194727156
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7000342N Issued in NY
Legal business name
DAUGHTERS OF JACOB NURSING HOME CO
Practice address
1160 Teller Ave
Bronx, NY 10456-4145
Phone
(718) 293-1500
Fax
(718) 992-7074
NPI assigned
Jun 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Kenneth Rozenberg
Title
Ceo
Phone
(718) 931-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7000342N NY Primary

Addresses

Primary practice location

1160 Teller Ave
Bronx, NY 10456-4145

Mailing address

1160 Teller Ave
Bronx, NY 10456-4145
Phone (718) 293-1500

Other identifiers 1

IdentifierTypeStateIssuer
00310325MedicaidNY

Other names 1

  • DOJ Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daughters of Jacob Nursing Home Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1194727156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564145",
            "telephone_number": "718-293-1500",
            "fax_number": "718-992-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564145",
            "telephone_number": "718-293-1500",
            "fax_number": "718-992-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUGHTERS OF JACOB NURSING HOME CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000342N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOJ Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.