Provider Demographics
NPI:1770669038
Name:MJHS HOSPICE AND PALLIATIVE CARE INC.
Entity Type:Organization
Organization Name:MJHS HOSPICE AND PALLIATIVE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BALKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-491-7221
Mailing Address - Street 1:55 WATER ST FL 46
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-3211
Mailing Address - Country:US
Mailing Address - Phone:718-921-7900
Mailing Address - Fax:212-420-2003
Practice Address - Street 1:55 WATER ST FL 46
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10041-3211
Practice Address - Country:US
Practice Address - Phone:212-356-5600
Practice Address - Fax:212-420-2003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN JEWISH HEALTH SYSTEM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
NY7002504F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01084573Medicaid
NY331529Medicare Oscar/Certification