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Contact Information

MJG NURSING HOME INC.
4915 10TH AVE
BROOKLYN, NY11219-3301
 Phone: 718-851-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MJG NURSING HOME INC.

NPI # 1184642290
LBN Legal business name MJG NURSING HOME INC.
Authorized official ALEXANDER BALKO - (SENIOR VICE PRESIDENT AND CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 014788
NY Medicaid 01538614
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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