Childrens Specialized Hospital

Organization Active NPI Long Term Care Hospital · Mountainside, NJ

NPI 1295876191 · NPPES record last updated Apr 30, 2026

Key facts

NPI
1295876191
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Hospital 282E00000X
License
22248L (NJ)
Legal business name
CHILDRENS SPECIALIZED HOSPITAL
Practice address
150 New Providence Rd
Mountainside, NJ 07092-2590
Phone
(908) 233-3720
NPI assigned
Feb 12, 2007
Organization subpart
No

Authorized official

Name
Joseph Dobosh
Title
VP Finance Cfo
Phone
(908) 301-5455

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Hospital

Listed as
Children'S Specialized Hospital CCN 313300
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Hospital certification: CCN 313300

Legal name
CHILDREN'S SPECIALIZED HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1985
Last certification
Feb 24, 2023
Beds
90
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Apr 11, 1893 in NJ
Enrollment address
200 Somerset St
New Brunswick, NJ 89011942
Hospital subgroups
Children’s

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beverly Norman-Thomas
Individual
W-2 Managing Employee
Manager Care Analyst
Jan 1, 2011
Geri Ann Swenarton
Individual
Corporate Officer
VP & Site Financial Officer
May 18, 2024
RWJ Barnabas Health Inc
Organization · West Orange, NJ
Corporation, Non-profit
Operational/Managerial Control Apr 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080505000546 NJ Part a Provider - Hospital 4486733243 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Orange, NJ; Union, NJ; Toms River, NJ; Springfield, NJ; Somerset, NJ; Mountainside, NJ; Newark, NJ; New Brunswick, NJ…

National Provider Directory

Tax ID family
Childrens Spec Hospital (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 22249L NJ
Long Term Care Hospital 282E00000X 22248L NJ Yes
Institutional Pharmacy 3336I0012X 28RS00417300 NJ
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

150 New Providence Rd
Mountainside, NJ 07092-2590

Mailing address

PO Box 15391
Newark, NJ 07192-5391
Phone (908) 301-5900

Other identifiers

IdentifierTypeStateIssuer
4439902MedicaidNJ
4505204MedicaidNJ
0806757MedicaidNJ
3119319OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0828424MedicaidNJ
4505221MedicaidNJ

Other names

  • CHILDRENS SPECIALIZED HOSPITAL Doing business as

Other providers in Mountainside, NJ

All providers in Mountainside, NJ · Long Term Care Hospital in New Jersey

Sources for this page

Verify at the official NPI Registry.