Organization Active NPI

Thomas Jefferson Alp

  • Assisted Living Facility
  • Brooklyn, NY
National Provider Identifier
1659438786
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
331-F-056 Issued in NY
Legal business name
THOMAS JEFFERSON ALP
Practice address
650 E 104TH St
Brooklyn, NY 11236-2504
Phone
(718) 649-0700
Fax
(718) 649-4441
NPI assigned
Jan 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Mr. George M. Berger
Title
Administrator
Phone
(718) 649-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 331-F-056 NY Primary

Addresses

Primary practice location

650 E 104TH St
Brooklyn, NY 11236-2504

Mailing address

650 E 104TH St
Brooklyn, NY 11236-2504
Phone (718) 649-0700

Other identifiers 1

IdentifierTypeStateIssuer
01-452079MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1659438786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E 104TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362504",
            "telephone_number": "718-649-0700",
            "fax_number": "718-649-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 104TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362504",
            "telephone_number": "718-649-0700",
            "fax_number": "718-649-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON ALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-649-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "331-F-056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-452079",
            "state": "NY"
        }
    ],
    "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 25, 2008; 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.