MJG NURSING HOME INC. (NPI# 1184642290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184642290 |
| Entity Type | Organization |
| Organization Name | MJG NURSING HOME INC. |
| Practice Address |
4915 10th Ave Brooklyn NY 11219-3301 |
| Practice Telephone | 7188513700 |
| Mailing Telephone | 7188513700 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| 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 | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
014788 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01538614 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790936201 | Mjg Nursing Home Inc. | Internal Medicine | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2008-10-02 |
| Street Address |
4915 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602252 | Mjg Nursing Home Company Inc | Skilled Nursing Facility | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2006-06-30 |
| 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 |
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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 | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467822163 | New York City Health and Hospitals Corp | Pharmacy | 275 Atlantic Ave, Brooklyn, NY 11201-5714 | 2015-10-07 |
| 1063577831 | New York City Health and Hospitals Corporation | Pharmacy | 2094 Pitkin Ave, Brooklyn, NY 11207-3509 | 2006-12-22 |
| 1356406136 | New York City Health and Hospitals Corporation | Pharmacy | 100 N Portland Ave, Brooklyn, NY 11205-2005 | 2006-12-22 |
| 1184632945 | New York City Health and Hospitals Corporation | Pharmacy | 594 Albany Ave, Brooklyn, NY 11203-1706 | 2006-08-04 |
| 1487677472 | Kingsbrook Jewish Medical Center | Pharmacy | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2006-07-25 |
| 1467487892 | Shorefront Jewish Geriatric Center Inc. | Pharmacy | 3015 W 29th St, Brooklyn, NY 11224-1901 | 2006-07-12 |
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|---|---|---|---|---|
| 1013495423 | Parkview Niagara Street, LLC | Pharmacy | 1050 Niagara Street, Suite 110, Buffalo, NY 14213-2007 | 2018-07-30 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1376945618 | Pine Pharmaceuticals, LLC | Pharmacy | 100 Colvin Woods Pkwy Ste 300, Tonawanda, NY 14150-6974 | 2014-09-18 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1649318767 | Thales Well Pharmacy Inc | Pharmacy | 1785 New York Ave, Huntington Station, NY 11746-1727 | 2007-02-01 |
| 1154488476 | United Health Services, Inc. | Pharmacy | 10 42 Mitchell Ave, Binghamton, NY 13903-1602 | 2007-01-03 |
| 1134137375 | New York City Health and Hospitals Corporation | Pharmacy | 545 E 142nd St, Bronx, NY 10454-2110 | 2006-08-03 |
| 1427063270 | New York City Health and Hospitals Corporation | Pharmacy | 234 E 149th St Rm 2a1, Bronx, NY 10451-5504 | 2006-07-30 |
| 1437783461 | Christina Bumbalo | Pharmacy | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-02-28 |
| 1194206508 | Christine Lavinio | Pharmacy | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2018-08-23 |
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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.