JNJ Home Health Aide Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0875L001 Issued in NY

Legal business name

JNJ HOME HEALTH AIDE AGENCY

Practice address

5223 Avenue N
Brooklyn, NY 11234-3907

Phone

(718) 377-3201

NPI assigned

Jan 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Bazelais, BIOLOGIST

Title

Ceo

Phone

(718) 377-3201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1942486089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343907",
            "telephone_number": "718-377-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343907",
            "telephone_number": "718-377-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNJ HOME HEALTH AIDE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BAZELAIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-377-3201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0875L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02077085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.