# STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** New Jersey Veterans Home at Menlo Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528239274
- **Authorized official:** JOSEPH BRANDSPIEGEL LNHA,MBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (732) 452-4102

## Contact information

- **Practice address:** 132 EVERGREEN RD, EDISON, NJ 08837-2484
- **Practice address phone:** (732) 452-4100
- **Practice address fax:** (732) 452-4180
- **Mailing address:** 132 EVERGREEN RD, P O BOX 3013, EDISON, NJ 08837-2484
- **Mailing address phone:** (732) 452-4100
- **Mailing address fax:** (732) 452-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 051225 | NJ | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 04/01/2008