Organization
CHILDRENS SPECIALIZED HOSPITAL
Active
Other names
CHILDRENS SPECIALIZED HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DOBOSH (VP FINANCE CFO)
(908) 301-5455
Entity
Organization
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
Mailing address
PO BOX 15391, NEWARK, NJ 07192-5391
(908) 301-5900
(908) 301-5934
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
22248L
NJ
282E00000X
Long Term Care Hospital
22249L
NJ
3336I0012X
Institutional Pharmacy
28RS00417300
NJ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0806757
—
NJ
05
—
0828424
—
NJ
01
—
3119319
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4439902
—
NJ
05
—
4505204
—
NJ
05
—
4505221
—
NJ
Enumeration date
02/12/2007
Last updated
04/30/2026
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