State of New Jersey Omb Centralized Payroll

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

051225 Issued in NJ

Legal business name

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Doing business as

New Jersey Veterans Home at Menlo Park

Practice address

132 Evergreen Rd
Edison, NJ 08837-2484

Phone

(732) 452-4100

Fax

(732) 452-4180

NPI assigned

Mar 20, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Brandspiegel, LNHA,MBA

Title

Chief Executive Officer

Phone

(732) 452-4102

Specialties & licenses 1

Addresses

Other names 1

• New Jersey Veterans Home at Menlo Park Doing business as

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1528239274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "address_2": "P O BOX 3013",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "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 RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4100",
            "fax_number": "732-452-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BRANDSPIEGEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "732-452-4102",
        "authorized_official_credential": "LNHA,MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "051225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Veterans Home at Menlo Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Seth I Stein, MD
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• Elyse A Steinberg, LSW
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• Skilled Nursing Facility in Edison, NJ
• Providers in Edison, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.