Provider Demographics
NPI:1366517864
Name:NEW JERSEY VETERANS MEMORIAL HOME
Entity type:Organization
Organization Name:NEW JERSEY VETERANS MEMORIAL HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALMARIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-405-4344
Mailing Address - Street 1:524 N WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-2845
Mailing Address - Country:US
Mailing Address - Phone:856-405-4344
Mailing Address - Fax:856-794-5712
Practice Address - Street 1:524 N WEST BLVD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-2845
Practice Address - Country:US
Practice Address - Phone:856-405-4344
Practice Address - Fax:856-794-5712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02942200314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC-54619Medicare UPIN