NPIMap

Organization Active NPI

New Jersey Veterans Memorial Home Menlo Park

  • Skilled Nursing Facility
  • Edison, NJ
National Provider Identifier
1144557802
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
051225 Issued in NJ
Legal business name
NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK
Practice address
132 Evergreen Road,
Edison, NJ 08837-2484
Phone
(732) 452-4100
Fax
(732) 452-4180
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer Causer, LNHA, CMDCP
Title
Chief Executive Officer
Phone
(732) 452-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 051225 NJ Primary

Addresses

Primary practice location

132 Evergreen Road,
Edison, NJ 08837-2484

Mailing address

P O Box 3013,
132 Evergreen Road
Edison, NJ 08818-3013
Phone (732) 452-4100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1144557802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 3013,",
            "address_2": "132 EVERGREEN ROAD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088183013",
            "telephone_number": "732-452-4100",
            "fax_number": "732-452-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN ROAD,",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4100",
            "fax_number": "732-452-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CAUSER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "732-452-4102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA, CMDCP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "051225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.