THOMAS JEFFERSON ALP NPI 1659438786

NPI Information

NPI: 1659438786
Provider Name: THOMAS JEFFERSON ALP
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
650 E 104TH ST
BROOKLYN, NY
ZIP 11236
Phone: (718) 649-0700
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THOMAS JEFFERSON ALP is an assisted living facility in Brooklyn, NY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THOMAS JEFFERSON ALP NPI is 1659438786. The provider is registered as an organization entity type.

The provider's business location address is:

650 E 104TH ST
BROOKLYN, NY
ZIP 11236-504
Phone: (718) 649-0700
Fax: (718) 649-4441

The provider's authorized official is George M. Berger .
The authorized official title is Administrator and has the following contact phone number (718) 649-0700.

The enumeration date for this NPI number is 1/1/2007 and was last updated on 8/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		331-F-056	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01-452079	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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