NPIMap

Organization Active NPI

Jacob Perlow Hospice

  • Medicare Defined Swing Bed Hospital Unit
  • Ny, NY
National Provider Identifier
1487077665
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
081372-1 Issued in NY
Legal business name
JACOB PERLOW HOSPICE
Practice address
39 Broadway, Suite 200
Ny, NY 10006
Phone
(212) 649-5555
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Erica Rosenbaum, LCSW ACHP-SW
Title
Medical Social Worker
Phone
(347) 675-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 081372-1 NY Primary

Addresses

Primary practice location

39 Broadway, Suite 200
Ny, NY 10006

Mailing address

39 Broadway, Suite 200
Ny, NY 10006

Other names 1

  • MJHS Hospice and Palliative care Other name

National Provider Directory

National Provider Directory
Tax ID family
Jacob Perlow Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39 Broadway
Ste 200
New York, NY 10006
Phone (212) 420-2844

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1487077665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROADWAY, SUITE 200",
            "city": "NY",
            "state": "NY",
            "postal_code": "10006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BROADWAY, SUITE 200",
            "city": "NY",
            "state": "NY",
            "postal_code": "10006",
            "telephone_number": "212-649-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB PERLOW HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MEDICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "347-675-6070",
        "authorized_official_credential": "LCSW ACHP-SW"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "081372-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJHS Hospice and Palliative care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.