Organization Active NPI

Greenwood House, Home for the Jewish Aged Inc.

  • Skilled Nursing Facility
  • Ewing, NJ
National Provider Identifier
1710986823
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031101 Issued in NJ
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
563991OtherNJMEDICARE OSCAR FOR PHYSICIAN'S BILLING
0469710001OtherNJNSC NUMBER FOR PEN BILLIN
4483600MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080501000059 NJ Part B Supplier - Clinic/Group Practice 2062425564 Receives reassigned benefits from 3 practitioners
Practice locations: Ewing, NJ
O20080611000082 NJ Part A Provider - Skilled Nursing Facility 2062425564 Practice locations: Ewing, NJ

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
CorporationNon-profit
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 AgedCCN 315215 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Feb 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
137107.1 residents per day on average
Penalties (3 years)
1Fines totaling $323,570

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
31D0653116Greenwood House Home for Jewish Aged53 Walter St, Ewing, NJ 08628Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Greenwood House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Jeff Sussman Individual Corporate DirectorBoard Secretary Jun 1, 2019
Deborah S Hunter Individual W-2 Managing EmployeeAssistant Executive Director of Apr 26, 2004 100%
Milcha Saint-Louis Individual W-2 Managing EmployeeComptroller of Greenwood House Oct 23, 1989 100%
Richard S Goldstein Individual Corporate DirectorExecutive Director Aug 1, 2019 100%
W-2 Managing EmployeeExecutive Director of Greenwood Oct 12, 1987 100%
Roberto Muniz Individual W-2 Managing EmployeeAssistant Administrator Jul 22, 2015 100%
Herbert Horowitz Individual Corporate DirectorBoard Member Jan 1, 2000
Donald J Barrack Individual Corporate DirectorBoard Member Jan 1, 1999
Dan Goodman Individual Corporate DirectorBoard President Jun 1, 2019
Leon B Kaplan Individual Corporate Director1St VP Board Jun 1, 2019
Jeffrey F Perlman Individual Corporate DirectorBoard Member Jan 1, 1987
Douglas Zeltt Individual Corporate DirectorBoard Treasurer Jun 1, 2019
Robert Norman Individual Corporate DirectorBoard Member 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.

FacilityTypeRoleSince
Greenwood House Hospice Services IncEwing, NJ, CCN 311567 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.

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.

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.

Affiliated clinicians 6

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": "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

Verify at the official NPI Registry.