MJG Nursing Home Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7001347N Issued in NY

Legal business name

MJG NURSING HOME INC.

Practice address

4915 10TH Ave
Brooklyn, NY 11219-3301

Phone

(718) 851-3700

NPI assigned

Oct 2, 2008

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

Sr, Vice President and Cfo

Phone

(718) 491-7221

Specialties & licenses 1

Addresses

Other names 1

• Metropolitan Jewish Geriatric Center Doing business as

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1790936201",
    "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 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SR, VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "718-491-7221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "7001347N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Jewish Geriatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mja Medical Practice, PLLC
• MJC Medical Care PC
• MJG Nursing Home Company Inc
• MJG Nursing Home Company, Inc
• MJG Nursing Home Inc.
• MJHC Home Care, Inc.
• MJHS Medical Associates
• Mji Speech and Language Therapy P.C.
• MJM RX Corp
• MK Anesthesia Services PLLC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.