MJG Nursing Home Company Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7001347N Issued in NY

Legal business name

MJG NURSING HOME COMPANY INC

Practice address

4915 10TH Ave
Brooklyn, NY 11219-3301

Phone

(718) 851-3700

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Tax ID family

Boro Park Operating Co LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Boro Park Operating Co LLC

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1982913109
  NPD tax ID

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1689602252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193301",
            "telephone_number": "718-851-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193301",
            "telephone_number": "718-851-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJG NURSING HOME COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-27",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001347N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309031",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MJ Tech Inc
• MJ-MC Home Health Care Agency,Inc
• Mja Health LLC
• Mja Medical Practice, PLLC
• MJC Medical Care PC
• MJG Nursing Home Company, Inc
• MJG Nursing Home Inc.
• MJG Nursing Home Inc.
• MJHC Home Care, Inc.
• MJHS Medical Associates

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.