NPIMap

Organization Active NPI

Shorefront Jewish Geriatric Center Inc.

  • Institutional Pharmacy
  • Brooklyn, NY
National Provider Identifier
1467487892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
023492 Issued in NY
Legal business name
SHOREFRONT JEWISH GERIATRIC CENTER INC.
Practice address
3015 W 29TH St
Brooklyn, NY 11224-1901
Phone
(718) 266-5700
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 023492 NY Primary

Addresses

Primary practice location

3015 W 29TH St
Brooklyn, NY 11224-1901

Mailing address

3015 W 29TH St
Brooklyn, NY 11224-1901
Phone (718) 266-5700

National Provider Directory

National Provider Directory
Tax ID family
MJG Nursing Home Company Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467487892",
    "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 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "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": "023492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

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.

Verify at the official NPI Registry.