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Contact Information

CHILDRENS SPECIALIZED HOSPITAL
150 NEW PROVIDENCE RD
MOUNTAINSIDE, NJ07092-2590
 Phone: 908-233-3720
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHILDRENS SPECIALIZED HOSPITAL

NPI # 1295876191
LBN Legal business name CHILDRENS SPECIALIZED HOSPITAL
Authorized official JOSEPH DOBOSH - (VP FINANCE CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 04/30/2026 - About a month ago
Identifiers
NJ License # 22248L
NJ License # 22249L
NJ License # 28RS00417300
NJ Medicaid 0806757
NJ Medicaid 0828424
NJ Medicaid 4439902
NJ Medicaid 4505204
NJ Medicaid 4505221
Other 3119319 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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