Organization Active NPI

New Jersey Veterans Memorial Home Menlo Park

  • Skilled Nursing Facility
  • Edison, NJ
National Provider Identifier
1194715409
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

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
Ceo
Phone
(732) 452-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 MenloCCN 315459
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Government - State
Certified
Oct 26, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
328185.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Himanshu Jani Individual Operational/Managerial Control May 6, 2024
Michael S. Leung Individual Operational/Managerial Control Aug 15, 2024
Adp of the SNF Aug 4, 2025
Lisa Kranis Individual Corporate OfficerCeo Dec 21, 2022 34%
Operational/Managerial Control Dec 21, 2022
Adp of the SNF Aug 27, 2025
Saarndupe Kamanda Individual 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.

Practitioners & affiliated clinicians

Practitioners 4

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

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

Sources for this page

Verify at the official NPI Registry.