Active NPI
New Jersey Veterans Memorial Home Menlo Park
- Skilled Nursing Facility
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK
- Practice address
- 132 Evergreen Rd
Edison, NJ 08837-2484 - Phone
- (732) 452-4167
- Fax
- (732) 603-3016
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
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
- Ceo
- Phone
- (732) 452-4102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
132 Evergreen Rd
Edison, NJ 08837-2484
Mailing address
132 Evergreen Rd
Edison, NJ 08837-2484
Phone (732) 452-4167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050829000643 | NJ | Part A Provider - Skilled Nursing Facility | 5698755601 | Practice locations: Edison, NJ |
Skilled nursing facility certification: CCN 315459
- Legal name
- NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Oct 26, 1999
- Last certification
- Jul 16, 2024
- Beds
- 328
- Ownership / control type
- State
- Organization structure
- Government
- Enrollment address
- 132 Evergreen Rd
Edison, NJ 08837-2484 - Nursing home name
- NEW JERSEY VETERANS MEMORIAL HOME MENLO
Care Compare: Nursing home
Medicare Care Compare- Listed as
- New Jersey Veterans Memorial Home Menlo
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Government - State
- Certified
- Oct 26, 1999
- Medicare certification status
- Active
- Certified beds
- 328
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Himanshu Jani | Operational/Managerial Control | May 6, 2024 | |
| Michael S. Leung | Operational/Managerial Control | Aug 15, 2024 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Lisa Kranis | Corporate Officer | Dec 21, 2022 | 34% |
| Operational/Managerial Control | Dec 21, 2022 | ||
| Adp of the SNF | Aug 27, 2025 | ||
| Saarndupe Kamanda | Operational/Managerial Control | May 15, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Pompton Plains, NJ
- NPI 1558305078
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Highland Park, NJ
- NPI 1548306608
-
- Internal Medicine Physician
- Edison, NJ
- NPI 1699816447
-
- Nurse Practitioner
- Pompton Plains, NJ
- NPI 1760569982
-
- Internal Medicine Physician
- North Las Vegas, NV
- NPI 1124154752
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1194715409",
"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": "732-452-4167",
"fax_number": "732-603-3016"
},
{
"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": "732-452-4167",
"fax_number": "732-603-3016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"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": "CEO",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
- New Jersey Podiatric Physicians & Surgeons Group LLC
- New Jersey Podiatric Physicians & Surgeons Group, LLC
- New Jersey Podiatric Physicians & Surgeons Group, LLC
- New Jersey Smiles LLC
- New Jersey Veterans Memorial Home Menlo Park
- New Jersey Vetrans Memorial Home
- New Step Foot & Ankle Associates
- Jessica NG, PHARM.D.
- NGM Mangement Company LLC
- Brian Nguyen
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.