NPIMap

Organization Active NPI

Edison Healthcare LLC

  • Skilled Nursing Facility
  • Edison, NJ
National Provider Identifier
1518556752
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EDISON HEALTHCARE LLC
Practice address
10 Brunswick Ave
Edison, NJ 08817-2507
Phone
(732) 985-1500
NPI assigned
Jan 12, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Vishal Patel
Title
Member
Phone
(732) 991-8527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

10 Brunswick Ave
Edison, NJ 08817-2507

Mailing address

10 Brunswick Ave
Edison, NJ 08817-2507
Phone (732) 985-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429001214 NJ Part A Provider - Skilled Nursing Facility 3173930294 Practice locations: Edison, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518556752. Details of each certification follow.

Skilled nursing facility certification: CCN 315279

Legal name
EDISON HEALTHCARE LLC
Doing business as
EMBASSY MANOR AT EDISON NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1989
Last certification
May 12, 2025
Beds
280
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 6, 2017 in NJ
Enrollment address
10 Brunswick Ave
Edison, NJ 08817-2507
Nursing home name
EMBASSY MANOR AT EDISON NURSING AND REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Embassy Manor at Edison Nursing and RehabilitationCCN 315279 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
280223.1 residents per day on average
Penalties (3 years)
1Fines totaling $102,840

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1042238Embassy Manor at Edison Nursing10 Brunswick Avenue, Edison, NJ 08817Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yash Pandya Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 38%
Rakesh Antala Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 20%
Moshe Weissman Individual W-2 Managing EmployeeAdministrator Feb 1, 2021 5%
Darshna Joshi Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 11%
Nilesh Dasondi Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 21%
Vishal Patel Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 10%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1518556752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRUNSWICK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172507",
            "telephone_number": "732-985-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRUNSWICK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172507",
            "telephone_number": "732-985-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-991-8527"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.