CHILDREN' SPECIALIZED HOSPITAL (NPI# 1578604476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578604476 |
| Entity Type | Organization |
| Organization Name | CHILDREN' SPECIALIZED HOSPITAL |
| Practice Address |
150 New Providence Rd Mountainside NJ 07092-2590 |
| Practice Telephone | 9082333720 |
| Practice Fax Number | 9083015456 |
| Mailing Telephone | 9082333720 |
| Mailing Fax Number | 9083015456 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH J DOBOSH JR. (VP, FINANCE & CFO) |
| Authorized Official Telephone | 9083015455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
083003 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8138206 | 05 |
| Street Address |
150 NEW PROVIDENCE RD |
| City | MOUNTAINSIDE |
| State | NJ |
| Zip Code | 07092-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306812037 | Ave O Gozo | Pediatrics | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2006-02-23 |
| 1013537497 | Meghan E. Lonergan | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2020-04-25 |
| 1538633516 | Allison Heschle | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2019-01-14 |
| 1518458702 | Heather Anne Montemurro | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2018-05-23 |
| 1366953465 | Grace Giovinazzo-page | Nurse Practitioner | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2017-10-16 |
| 1083151088 | Karla R Estrada Saborio | Speech-Language Pathologist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2017-01-27 |
| 1598217143 | Laura Gorelick | Counselor | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-31 |
| 1285185215 | Angela Tonon | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-14 |
| 1609326610 | Amy Srebnik | Specialist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-13 |
| 1831547884 | Elizabeth Ann Hack | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
| 1376817742 | Yekaterina Spivak | Physician Assistant | 444 New Providence Rd, Mountainside, NJ 07092 | 2012-03-02 |
| 1578837225 | Barbara I Reuven | Physical Therapist | 1111 Us Highway 22 East, Mountainside, NJ 07092 | 2012-02-28 |
| 1629350434 | Cooperative Counseling Services, LLC | Clinic/Center | 1139 Spruce Drive, Suite 2, Mountainside, NJ 07092 | 2011-09-16 |
| 1912207325 | Leslie Ann Eckenthal | Speech-Language Pathologist | 1607 Rising Way, Westfield, NJ 07092 | 2010-11-01 |
| 1598080806 | Darshana Patel | Pharmacist | 200 Sheffield, 103, Mountainside, NJ 07092 | 2010-03-30 |
| 1770807497 | Goda Devi Chari | Pharmacist | 200 Sheffield St., Ste.103, Mountainside, NJ 07092 | 2010-03-24 |
| 1982830485 | Arthur J. Matthews | Otolaryngology | 1060 Saddlebrook Rd., Mountainside, NJ 07092 | 2009-06-10 |
| 1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
| Find all providers in zip 07092 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063913143 | The Village Child Care Center LLC | Clinic/Center | 1900 Frontage Rd Apt 810, Cherry Hill, NJ 08034-2214 | 2018-02-23 |
| 1457796930 | Galloway Pediatric Medical Day Care LLC | Clinic/Center | 66 West Jimmie Leeds Road, Absecon, NJ 08201 | 2013-05-09 |
| 1720247091 | Providence Pediatric Medical Daycare, Inc. | Clinic/Center | 35 S Annapolis Ave, Atlantic City, NJ 08401-5927 | 2008-06-03 |
| 1467650572 | Manchester Ped Day Hlth Svcs | Clinic/Center | 1770 Tobias Ave, Manchester, NJ 08759-5803 | 2007-07-10 |
| 1699828111 | Enam Corporation | Clinic/Center | 238 Mercer St, Gloucester City, NJ 08030-1429 | 2007-01-19 |
| 1245382555 | Horizon Pediatric Systems Inc. | Clinic/Center | 100 Youngs Rd, Suite 6, Mercerville, NJ 08619-1025 | 2007-01-17 |
| 1790871812 | Pediatric Day Hlth Ctr Gallow | Clinic/Center | 66 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2006-10-05 |
| 1104342856 | Epic Health Services, Inc | Clinic/Center | 316 W Westfield Ave, Roselle Park, NJ 07204-1841 | 2017-08-15 |
| 1154872240 | Little Stars Children's Medical Day Care LLC | Clinic/Center | 225 N Center Dr, North Brunswick, NJ 08902-4247 | 2016-10-24 |
| 1699167585 | Rainbow Children's Medical Day Care LLC | Clinic/Center | 100 Youngs Rd, Suite 100, Mercerville, NJ 08619-1025 | 2015-03-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAINSIDE |
| Zip Code | 07092 |
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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.