Venetian Care and Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VENETIAN CARE AND REHABILITATION CENTER

Practice address

275 John O'Leary Boulevard
South Amboy, NJ 08879

Phone

(201) 767-0100

Fax

(201) 881-1195

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Hyman Jacobs

Title

Manager

Phone

(201) 767-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Skilled nursing facility certification: CCN 315518

Legal name

VENETIAN CARE AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 22, 2015

Last certification

Apr 10, 2024

Beds

180

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Mar 12, 2008 in NJ

Enrollment address

275 John T O Leary Blvd
South Amboy, NJ 08879-1895

Nursing home name

VENETIAN CARE & REHABILITATION CENTER, LLC

Listed as

Venetian Care & Rehabilitation Center, LLCCCN 315518

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 22, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180151.5 residents per day on average

Penalties (3 years)

1Fines totaling $56,441

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David T Jacobs, MD

  • Phlebology Physician
  • Rockville Centre, NY
  • NPI 1811225394

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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

• Marek Robert Lupicki, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1508967746
  NPD (past)

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Deepak Dhaliwal

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1194133710

  Nursing home

  Care Compare affiliation
• Rizwana Khan, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1154558419

  Nursing home

  Care Compare affiliation
• Rodolfo Maldonado, M.D.

  • Internal Medicine Physician
  • Fords, NJ
  • NPI 1093823668

  Nursing home

  Care Compare affiliation
• Harold V McKenna, MD

  • Internal Medicine Physician
  • South Amboy, NJ
  • NPI 1609959550

  Nursing home

  Care Compare affiliation
• Alber Moussa, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1740235225

  Nursing home

  Care Compare affiliation
• Janet Ojeabulu, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1013250646

  Nursing home

  Care Compare affiliation
• Deepa Samir Patel, M.D.

  • Internal Medicine Physician
  • Spotswood, NJ
  • NPI 1134225162

  Nursing home

  Care Compare affiliation
• Andras Peter, M.D.

  • Internal Medicine Physician
  • Avenel, NJ
  • NPI 1154344646

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1952736985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCCLELLEN ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481555",
            "telephone_number": "201-767-0100",
            "fax_number": "201-881-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 JOHN O'LEARY BOULEVARD",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "201-767-0100",
            "fax_number": "201-881-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENETIAN CARE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "HYMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-767-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomasz Grochowalski MD PA
• Tri State Foot Care, P.C
• Jessica Ann Trucillo, MA, LMHC
• Daisia Truss
• Chisom Uzor
• Venetian Healthcare and Rehab Center LLC
• O'Bella Fusingan Verdeflor
• Veritas Recovery Center, LLC
• Val Vukovic
• Margaret M Wagner

• Skilled Nursing Facility in South Amboy, NJ
• Providers in South Amboy, 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 Aug 8, 2014; 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.

Verify at the official NPI Registry.