Active NPI
Center for Wound Science and Healing
- Special Hospital
- Newark, NJ
National Provider Identifier
1053743997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- CENTER FOR WOUND SCIENCE AND HEALING
- Practice address
- 495 North 13TH Street, 2ND Floor
Newark, NJ 07107 - Phone
- (973) 497-7770
- Fax
- (973) 497-7785
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- Organization subpart
- Yes
- Parent organization
- COLUMBUS LTACH HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Burguillos
- Title
- Cfo
- Phone
- (973) 587-7707
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | NU | ||
| Special Hospital | 284300000X | NU | Primary |
Addresses
Primary practice location
495 North 13TH Street, 2ND Floor
Newark, NJ 07107
Mailing address
495 N 13TH St FL 2
Newark, NJ 07107-1317
Phone (973) 497-7770
National Provider Directory
National Provider Directory- Tax ID family
- Columbus Hospital Ltach LLC
- Part of
- Columbus Hospital Ltach LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Silver Lake Hospital LTACH
- Psychiatric Hospital Unit
- Newark, NJ
- NPI 1376294207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375401600000",
"number": "1053743997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 N 13TH ST FL 2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071071317",
"telephone_number": "973-497-7770",
"fax_number": "973-497-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 NORTH 13TH STREET, 2ND FLOOR",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07107",
"telephone_number": "973-497-7770",
"fax_number": "973-497-7785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR WOUND SCIENCE AND HEALING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLUMBUS LTACH HOSPITAL",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A",
"authorized_official_last_name": "BURGUILLOS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "973-587-7707",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
- Joseph Celidonio
- David John Cennimo, MD
- Center for Childhood and Neonatal Surgery
- Center for Health Healing and Integrative Medicine LLC
- Center for Oral Implantology and Rehabilitation of North Jersey
- Central Avenue Professional Services, PC
- Central Jersey Medical Center, Inc
- Central Jersey Medical Center, Inc.
- Central Jersey Medical Center, Inc.
- Central Jersey Medical Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.