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NPI Code Detail

MEDICARE: DOJ OPERATIONS ASSOCIATES, LLC

MEDICARE: DOJ OPERATIONS ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility7000398NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720421019
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOJ OPERATIONS ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 4770 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10470-1104
Country : US
Telephone Number : 718-931-9700
Fax Number :
Provider Business Practice Location Address
First Line : 1160 TELLER AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-4145
Country : US
Telephone Number : 718-931-9700
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MR. KENNETH ROZENBERG
Credential :
Telephone Number : 718-931-9700
Provider Enumeration Date : 04/17/2013
Last Update Date : 12/08/2020

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