NPIMap

Organization Active NPI

Metropolitan Jewish Home Care Inc.

  • Home Health Agency
  • New York, NY
National Provider Identifier
1720019144
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7002656 Issued in NY
Legal business name
METROPOLITAN JEWISH HOME CARE INC.
Practice address
55 Water St FL 46
New York, NY 10041-3211
Phone
(212) 356-5600
Fax
(212) 356-5343
NPI assigned
Jul 5, 2006
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Alexander Balko
Title
Senior/VP Chief Financial Officer
Phone
(718) 491-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7002656 NY Primary

Addresses

Primary practice location

55 Water St FL 46
New York, NY 10041-3211

Mailing address

55 Water St FL 46
New York, NY 10041-3211
Phone (718) 630-2510

Other identifiers 1

IdentifierTypeStateIssuer
02407638MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://rioc-prod.vynemedical.com:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other The White Stone Group d/b/a Vyne Medical

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030325000015 NY Part A Provider - Home Health Agency 9931018223 1 other NPI on this enrollment
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720019144. Details of each certification follow.

Home health agency certification: CCN 337061

Legal name
METROPOLITAN JEWISH HOME CARE INC
Doing business as
MJHS HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jul 24, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 18, 2003 in NY
Enrollment address
6323 7TH Ave
2ND FL
Brooklyn, NY 11220-4742

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
M J H S Home CareCCN 337061 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0895104Metropolitan Jewish Home Care Inc55 Water St - 47TH FL, New York, NY 10041Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

440 9th Ave
Fl 14
New York, NY 10001
Phone (212) 356-5343

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Gormley Individual Corporate OfficerBoard Treasurer Apr 27, 2022
Danielle Rollmann Individual Corporate DirectorBoard Director, Ex-Officio, Non- Apr 27, 2022
Ronald B Milch Individual Corporate DirectorBoard Director Jan 1, 2012
David Wagner Individual Corporate OfficerChief Executive Officer Jan 1, 2022
Corporate DirectorChief Executive Officer Jan 1, 2022
Arthur Goshin Individual Corporate DirectorBoard Director Jan 1, 2012
Bradley M Fluegel Individual Corporate OfficerBoard Chair Apr 27, 2022
Anca Adams Individual W-2 Managing EmployeeAssociate General Counsel Mar 21, 2022
Metropolitan Jewish Health System Inc Organization, Brooklyn, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 18, 2003 100%
David Koschitzki Individual Corporate OfficerChief Financial Officer Jan 1, 2022
Geline Midouin Individual Corporate DirectorBoard Director Mar 9, 2021
Steven L Topal Individual Corporate DirectorBoard Vice Chair Jan 1, 2012
Kathleen Dier Individual W-2 Managing EmployeeSVP of Home Care Oct 23, 2017
Anne Marinaro Individual Corporate DirectorBoard Director Mar 9, 2021
Eli S Feldman Individual Corporate DirectorBoard Director Jan 1, 2012
W-2 Managing EmployeeCeo Apr 5, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1720019144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100413211",
            "telephone_number": "718-630-2510",
            "fax_number": "718-759-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100413211",
            "telephone_number": "212-356-5600",
            "fax_number": "212-356-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN JEWISH HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SENIOR/VP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-491-7221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7002656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02407638",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://rioc-prod.vynemedical.com:8191/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.8788.1",
            "affiliationName": "The White Stone Group d/b/a Vyne Medical",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 Ashford Ctr N Ste 300",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.