COLUMBUS HOSPITAL LTACH LLC (NPI# 1508203878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508203878 |
| Entity Type | Organization |
| Organization Name | COLUMBUS HOSPITAL LTACH LLC |
| Practice Address |
495 N 13th St Newark NJ 07107-1317 |
| Practice Telephone | 9735877777 |
| Practice Fax Number | 9735877830 |
| Mailing Telephone | 9734977770 |
| Mailing Fax Number | 9734977785 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | RICHARD BURGUILLOS (CFO) |
| Authorized Official Telephone | 9735877707 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBUS HOSPITAL LTACH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 1396 | NJ | Hospitals |
| Y | 282E00000X | Long Term Care Hospital | 24009 | NJ | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104144641 | Columbus Hospital Ltach LLC | Long Term Care Hospital | 495 North 13th Street, Newark, NJ 07107-1317 | 2010-05-07 |
| Street Address |
495 N 13TH ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645208 | Pediatric Hospital Associates, P.a. | Pediatrics | 495 N 13th St, Newark, NJ 07107-1317 | 2005-08-02 |
| 1558826644 | Dynamic Physical Therapy and Sports Rehab At Newark | Physical Therapist | 495 N 13th St, Newark, NJ 07107-1317 | 2019-02-04 |
| 1669927513 | Northward Hospital Associates | Hospitalist | 495 N 13th St, Newark, NJ 07107-1317 | 2016-08-22 |
| 1386015204 | Sovereign Health of New Jersey | Substance Abuse Rehabilitation Facility | 495 N 13th St, Newark, NJ 07107-1317 | 2015-10-19 |
| 1962741611 | Meridian Adult Day Care LLC | Clinic/Center | 495 N 13th St, Newark, NJ 07107-1317 | 2013-01-31 |
| 1124374772 | Columbus Ambulance Service LLC | Ambulance | 495 N 13th St, Newark, NJ 07107-1317 | 2012-08-01 |
| 1972860955 | A Plus Physicians LLC | Internal Medicine | 495 N 13th St, Newark, NJ 07107-1317 | 2012-04-16 |
| 1588941371 | Orphan Drug Professional Services LLC | Pharmacy | 495 N 13th St, Newark, NJ 07107-1317 | 2011-11-08 |
| 1003059536 | Mark Lister, M.d., Pa | Ophthalmology | 495 N 13th St, Newark, NJ 07107-1317 | 2009-04-14 |
| 1851505663 | Andrea C Fodor | Registered Nurse | 495 N 13th St, Newark, NJ 07107-1317 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205111028 | Columbus Hospital Ltach, LLC | Long Term Care Hospital | 495 N 13th Street, Newark, NJ 07107-1317 | 2011-10-12 |
| 1104144641 | Columbus Hospital Ltach LLC | Long Term Care Hospital | 495 North 13th Street, Newark, NJ 07107-1317 | 2010-05-07 |
| 1174658470 | Christiana Care | Long Term Care Hospital | 4755 Ogletown-stanton Road, Suite 2a00, Newark, DE 19718 | 2007-02-23 |
| 1861492217 | Select Specialty Hospital - Zanesville Inc | Long Term Care Hospital | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215202031 | Ancora Psychiatric Hospital | Long Term Care Hospital | 1600 Laurel Rd, Apt B19, Lindenwold, NJ 08021-6792 | 2012-03-12 |
| 1265697627 | Onward | Long Term Care Hospital | 37 Andaloro Way, Westville, NJ 08093-1639 | 2008-07-25 |
| 1457411266 | Rockland Psychiatric Center | Long Term Care Hospital | 140 Pleasant Ave, Englewood, NJ 07631-1604 | 2006-12-11 |
| 1578543468 | Lourdes Specialty Hospital of Southern New Jersey LLC | Long Term Care Hospital | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-01-18 |
| 1497754006 | The Rehabilitation Hospital At Raritan Bay Medical Center, LLC | Long Term Care Hospital | 530 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2005-07-15 |
| 1093713521 | Select Specialty Hospital - Northeast New Jersey Inc | Long Term Care Hospital | 96 Parkway, Rochelle, NJ 07662 | 2005-07-08 |
| 1942757125 | Saint Joseph Regional Medical Center | Long Term Care Hospital | 703 Main Street, Paterson, NJ 07503-3700 | 2016-09-06 |
| 1013306745 | Community Care Rx | Long Term Care Hospital | 225 Us Highway 46, 4, Totowa, NJ 07512-1839 | 2015-01-19 |
| 1679974174 | Runnells Bh Operating LLC | Long Term Care Hospital | 40 Watchung Way, Berkeley Heights, NJ 07922-2600 | 2014-09-16 |
| 1750722351 | Palisades Medical Center | Long Term Care Hospital | 7600 River Rd, North Bergen, NJ 07047-6217 | 2013-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.