NPIMap

Organization Active NPI

Hba Management, Inc.

  • Children's Rehabilitation Hospital
  • Marlton, NJ
National Provider Identifier
1689614927
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
Legal business name
HBA MANAGEMENT, INC.
Practice address
92 Brick Road
Marlton, NJ 08053
Phone
(856) 489-4520
Fax
(856) 489-4541
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Rosiak
Title
Coo
Phone
(856) 489-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Rehabilitation Hospital 283XC2000X Primary

Addresses

Primary practice location

92 Brick Road
Marlton, NJ 08053

Mailing address

92 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 489-4520

Other identifiers 2

IdentifierTypeStateIssuer
7584407MedicaidNJ
0018422500001MedicaidPA

Other names 1

  • Weisman Children's Rehabilitation Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050622000868 NJ Part A Provider - Hospital 9436194230 1 other NPI on this enrollment
Practice locations: Marlton, NJ

Hospital certification: CCN 313302

Legal name
HBA MANAGEMENT, INC.
Doing business as
WEISMAN CHILDREN'S REHAB HOSP
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 2006
Last certification
Jul 26, 2024
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Oct 13, 1982 in FL
Enrollment address
92 Brick Rd
Marlton, NJ 80532177
Main/Primary Hospital Location
Hospital subgroups
Children’s, Rehabilitation, Other

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Weisman Childrens Rehabilitation HospitalCCN 313302
Type
Childrens
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0952707Weisman Children'S Rehabilitation Hospital92 Brick Road, Marlton, NJ 08053Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hba Management Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

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

Locations

92 Brick Rd
Ste 100
Marlton, NJ 08053

5261 Marlton Pike
Ste B
Pennsauken, NJ 08109

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Andrew Weisman Individual 5% Or Greater Direct Ownership Interest Oct 1, 1997 12.5%
Nonmarital Trust Under the Howard Lipschutz Revocable Trust 5/21/15 Organization, Philadelphia, PA 5% Or Greater Direct Ownership Interest Jun 1, 2021 7.5%
Michael Rosiak Individual Corporate DirectorCoo May 20, 2013
W-2 Managing EmployeeCoo Jan 1, 2005
2012 Lipschutz Family Trust Organization, Philadelphia, PA 5% Or Greater Direct Ownership Interest Jun 1, 2021 7.5%
B. Weisman Grantor Trust Fbo Andrew Weisman and Marcia Langley Organization, Boca Raton, FL Created for acquisition 5% Or Greater Direct Ownership Interest Nov 15, 2019 65%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tamarac Rehabilitation & Health CenterTamarac, FL, CCN 105360 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 1997

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1689614927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BRICK RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532177",
            "telephone_number": "856-489-4520",
            "fax_number": "856-489-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRICK ROAD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-489-4520",
            "fax_number": "856-489-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HBA MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ROSIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "856-489-4520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7584407",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018422500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weisman Children's Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.