Active NPI
Greenwood House, Home for the Jewish Aged Inc.
- Skilled Nursing Facility
- Ewing, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 031101
- Legal business name
- GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.
- Practice address
- 53 Walter St
Ewing, NJ 08628-3016 - Phone
- (609) 883-5391
- Fax
- (609) 530-1635
- NPI assigned
- Jul 20, 2005
- Last updated
- Apr 29, 2008
- 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
- Mr. Richard S Goldstein, LNHA
- Title
- Executive Director
- Phone
- (609) 883-5391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 031101 | NJ | Primary |
Addresses
Primary practice location
53 Walter St
Ewing, NJ 08628-3016
Mailing address
53 Walter St
Ewing, NJ 08628-3016
Phone (609) 883-5391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 563991 | Other | NJ | MEDICARE OSCAR FOR PHYSICIAN'S BILLING |
| 0469710001 | Other | NJ | NSC NUMBER FOR PEN BILLIN |
| 4483600 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710986823. Details of each certification follow.
Skilled nursing facility certification: CCN 315215
- Legal name
- GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1985
- Last certification
- Aug 21, 2024
- Beds
- 137
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- Feb 26, 1941 in NJ
- Enrollment address
- 53 Walter St
Ewing, NJ 08628-3016 - Nursing home name
- GREENWOOD HOUSE HOME FOR THE JEWISH AGED
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Greenwood House Home for the Jewish Aged
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Feb 1, 1985
- Medicare certification status
- Active
- Certified beds
- 137
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0653116 | Greenwood House Home for Jewish Aged | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Greenwood House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Ewing, NJ
- NPI 1356774889
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Lawrence Township, NJ
- NPI 1194771568
Member Of
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Jeff Sussman | Corporate Director | Jun 1, 2019 | |
| Deborah S Hunter | W-2 Managing Employee | Apr 26, 2004 | 100% |
| Milcha Saint-Louis | W-2 Managing Employee | Oct 23, 1989 | 100% |
| Richard S Goldstein | Corporate Director | Aug 1, 2019 | 100% |
| W-2 Managing Employee | Oct 12, 1987 | 100% | |
| Roberto Muniz | W-2 Managing Employee | Jul 22, 2015 | 100% |
| Herbert Horowitz | Corporate Director | Jan 1, 2000 | |
| Donald J Barrack | Corporate Director | Jan 1, 1999 | |
| Dan Goodman | Corporate Director | Jun 1, 2019 | |
| Leon B Kaplan | Corporate Director | Jun 1, 2019 | |
| Jeffrey F Perlman | Corporate Director | Jan 1, 1987 | |
| Douglas Zeltt | Corporate Director | Jun 1, 2019 | |
| Robert Norman | Corporate Director | Jan 1, 1997 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Greenwood House Hospice Services Inc | Hospice | 5% Or Greater Direct Ownership Interest | Apr 25, 2005 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Lawrence Township, NJ
- NPI 1194771568
5% Or Greater Direct Ownership Interest
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Ewing, NJ
- NPI 1356774889
-
- Home Health Agency
- Ewing, NJ
- NPI 1922691278
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Lawrenceville, NJ
- NPI 1437157583
-
- Internal Medicine Physician
- Ewing, NJ
- NPI 1942242748
-
- Psychiatric/Mental Health Nurse Practitioner
- New Egypt, NJ
- NPI 1952698565
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Lawrence Township, NJ
- NPI 1356382600
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1710986823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 WALTER ST",
"city": "EWING",
"state": "NJ",
"postal_code": "086283016",
"telephone_number": "609-883-5391",
"fax_number": "609-530-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 WALTER ST",
"city": "EWING",
"state": "NJ",
"postal_code": "086283016",
"telephone_number": "609-883-5391",
"fax_number": "609-530-1635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "609-883-5391",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "031101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OSCAR FOR PHYSICIAN'S BILLING",
"identifier": "563991",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC NUMBER FOR PEN BILLIN",
"identifier": "0469710001",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4483600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.