MJG NURSING HOME COMPANY INC (NPI# 1689602252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689602252 |
| Entity Type | Organization |
| Organization Name | MJG NURSING HOME COMPANY INC |
| Practice Address |
4915 10th Ave Brooklyn NY 11219-3301 |
| Practice Telephone | 7188513700 |
| Mailing Telephone | 7188513700 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MR. ALEXANDER BALKO (SENIOR VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 7184917221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7001347N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00309031 | 05 |
| Street Address |
4915 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559489 | Yuliya Plaxin | Registered Nurse | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2020-05-11 |
| 1154827616 | Marina Bukhrashvili | Nurse Practitioner | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2018-04-03 |
| 1699213629 | Annesia Cato | Licensed Practical Nurse | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2017-02-09 |
| 1487198198 | Ganna Severina | Occupational Therapy Assistant | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2016-12-14 |
| 1144679267 | Shawn L Forde | Social Worker | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2016-06-09 |
| 1700250222 | Olena Tychkov | Occupational Therapy Assistant | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2015-11-20 |
| 1487028965 | Jose Vivian Corre | Physical Therapist | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2015-11-19 |
| 1063846285 | Centers Adult Day Care LLC | Clinic/Center | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2013-08-23 |
| 1457604027 | Daniel Ganz | Internal Medicine | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2012-10-19 |
| 1427356930 | Boro Park Operating Co LLC | Internal Medicine | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2011-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1194142661 | Hunter Services Center Inc. | Skilled Nursing Facility | 202 E 91st St, A19, Brooklyn, NY 11212-1355 | 2014-03-24 |
| 1477986172 | Hamilton Park Opco LLC | Skilled Nursing Facility | 14c 53rd St, Brooklyn, NY 11232-2644 | 2013-08-16 |
| 1578899076 | Hamilton Park Multicare LLC | Skilled Nursing Facility | 691 92nd St Fl 2, Brooklyn, NY 11228 | 2009-10-19 |
| 1497994800 | Ditmas Park Rehabilitation & Care Center LLC | Skilled Nursing Facility | 2107 Ditmas Ave, Brooklyn, NY 11226-6903 | 2009-02-09 |
| 1992950976 | Menorah Home and Hospital for Aged and Infirm | Skilled Nursing Facility | 871 Bushwick Ave, Brooklyn, NY 11221-3739 | 2008-11-18 |
| 1043492416 | Embassy Snf LLC | Skilled Nursing Facility | 921 E 31st St, Suite 101, Brooklyn, NY 11210-3831 | 2007-11-28 |
| 1376743112 | American Biomed Homecare | Skilled Nursing Facility | 11 Wyona St, Brooklyn, NY 11207-2515 | 2007-07-19 |
| 1881719078 | Etienne Home Care Services,inc | Skilled Nursing Facility | 2920a Cortelyou Rd, Brooklyn, NY 11226 | 2007-03-20 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.