Active NPI
Umh JGJ Corp
- Skilled Nursing Facility
- Johnson City, NY
National Provider Identifier
1366472052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0303306N
- Legal business name
- UMH JGJ CORP
- Practice address
- 286 Deyo Hill Rd
Johnson City, NY 13790-5110 - Phone
- (607) 798-1002
- Fax
- (607) 798-9382
- NPI assigned
- Jul 5, 2006
- 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. Brian Picchini
- Title
- President & Ceo
- Phone
- (607) 775-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0303306N | NY | Primary |
Addresses
Primary practice location
286 Deyo Hill Rd
Johnson City, NY 13790-5110
Mailing address
286 Deyo Hill Rd
Johnson City, NY 13790-5110
Phone (607) 798-1002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00864324 | Medicaid | NY |
Other names 1
- United Methodist Homes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2045391 | United Methodist Homes Hilltop Manor West | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
286 Deyo Hill Rd
Johnson City, NY 13790
Phone (607) 798-1002
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Johnson City, NY
- NPI 1588041479
-
- Family Medicine Physician
- Johnson City, NY
- NPI 1235193707
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1114059185
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": "1433894400000",
"number": "1366472052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 DEYO HILL RD",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137905110",
"telephone_number": "607-798-1002",
"fax_number": "607-798-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 DEYO HILL RD",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137905110",
"telephone_number": "607-798-1002",
"fax_number": "607-798-9382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMH JGJ CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2015-06-10",
"status": "A",
"authorized_official_last_name": "PICCHINI",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "607-775-6400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "0303306N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00864324",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Methodist Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.