New Jersey Vetrans Memorial Home

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

Legal business name

NEW JERSEY VETRANS MEMORIAL HOME

Practice address

132 Evergreen Rd
Edison, NJ 08837-2484

Phone

(732) 452-4100

NPI assigned

Oct 18, 2021

Organization subpart

Yes

Parent organization

STATE OF NEW JERSEY NEW JERSEY VETERANS HOME MENLO PARKAs reported in NPPES

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

Authorized official

Name

Myrna Prince, RN MSN

Title

Charge Nurse

Phone

(732) 452-4138

Specialties & licenses 1

Addresses

Part of

New Jersey Vetrans Memorial Home

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1174286009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY VETRANS MEMORIAL HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW JERSEY NEW JERSEY VETERANS HOME MENLO PARK",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "CHARGE NURSE",
        "authorized_official_telephone_number": "732-452-4138",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Continuing Education/Staff Development Registered Nurse in Edison, NJ
• Providers in Edison, NJ by specialty
• Continuing Education/Staff Development Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.