Marcus Jewish Community Center of Atlanta, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC.

Practice address

5342 Tilly Mill Rd
Dunwoody, GA 30338-4426

Phone

(678) 812-3740

Fax

(770) 458-3446

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Gail Luxenberg

Title

Chief Executive Officer

Phone

(678) 812-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1609205772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 TILLY MILL RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384426",
            "telephone_number": "678-812-3740",
            "fax_number": "770-458-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 TILLY MILL RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384426",
            "telephone_number": "678-812-3740",
            "fax_number": "770-458-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "LUXENBERG",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-812-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012016A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012016B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Malcolm, LPC
• Lydia Mallari, CRNA
• Tamara Angelle Mallory
• Liya Tiru Mammo, PSYD
• Leena Pravin Mane, MD
• Chantay T Mardner, SPECIALIST
• Marin Matheus and Associates, LLC
• Marsha a Gordon DMD PC
• Kari Martinez, MS, RD
• Teresa Andrea Martinez

• Adult Day Care Clinic/Center in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.