Jewish Geriatric Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060402 Issued in NJ

Legal business name

JEWISH GERIATRIC HOME

Practice address

3025 Chapel Ave W
Cherry Hill, NJ 08002-1503

Phone

(856) 667-3100

Fax

(856) 667-5042

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Z Ross

Title

Chief Executive Officer

Phone

(856) 667-3100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740252162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021503",
            "telephone_number": "856-667-3100",
            "fax_number": "856-667-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021503",
            "telephone_number": "856-667-3100",
            "fax_number": "856-667-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH GERIATRIC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "856-667-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4469500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jewish Federation of Southern NJ
• Jewish Federation of Southern NJ
• Jewish Federation of Southern NJ
• Jewish Federation of Southern NJ
• Jewish Federation of Southern NJ
• Masaya Jimbo, MD, PHD
• Alicia Rose Jimenez
• Martha Jimenez
• Silvia Elizabet Jimenez
• Rachel C. Joan, M.S., CCC-SLP

• Skilled Nursing Facility in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.