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COLUMBUS HOSPITAL LTACH LLC
NPI 1508203878
Long Term Care Hospital in Newark, NJ

Active since May 28, 2013
495 N 13TH ST, NEWARK, NJ 07107(973) 587-7777(973) 587-7830 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Columbus Hospital Ltach Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBUS HOSPITAL LTACH LLC (NPI 1508203878) is a healthcare organization registered as a long term care hospital in Newark, New Jersey and active in the NPI registry since May 2013. The organization lists Richard Burguillos, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508203878
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameCOLUMBUS HOSPITAL LTACH LLC
Location Address495 N 13TH STNewark, NJ 07107-1317
Mailing Address495 N 13th StNewark, NJ 07107-1317 · (973) 497-7770 · Fax (973) 497-7785
Phone(973) 587-7777
Fax(973) 587-7830
Organization SubpartYes
Authorized OfficialRichard BurguillosCfo · (973) 587-7707
Enumeration DateMay 28, 2013
Last NPPES UpdateMarch 14, 2014
✔ NPI 1508203878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License✔ Licensed in NJ · 24009
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 1396 (NJ)
495 N 13TH ST, Newark, NJ 07107
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Other Identifiers 1

Medicare PIN310242NJ

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbus Hospital Ltach Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20110504000335Part A · HospitalDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK LISTER, M.D., PA
Ophthalmology
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 844-1340
ELITE PT LLC
Clinic/Center (Physical Therapy)
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 732-5959
DR. PIDOK THEPMANKORN MD
Emergency Medicine
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 268-1400
ESSEX ANESTHESIOLISTS PA
Anesthesiology
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 268-1400
NEW JERSEY ADVANCED DIAGNOSTIC IMAGING
Radiology (Diagnostic Radiology)
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 338-3416
COLUMBUS AMBULANCE SERVICE LLC
Ambulance (Land Transport)
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 587-7712
HEATHER B. EVERS CPNP
Nurse Practitioner (Pediatrics)
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 268-1453
CHILDREN'S EYE CARE CENTER OF NJ
Specialist
495 N 13TH ST
NEWARK, NJ 07107
Essex County (973) 485-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbus Hospital Ltach LLC's NPI number?

The NPI number for Columbus Hospital Ltach LLC is 1508203878. It was assigned to this organization in the NPPES registry on May 28, 2013.

Where is Columbus Hospital Ltach LLC located?

Columbus Hospital Ltach LLC is located at 495 N 13th St, Newark, NJ 07107. The listed phone number is (973) 587-7777.

What is Columbus Hospital Ltach LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Is Columbus Hospital Ltach LLC enrolled in Medicare?

Yes. Columbus Hospital Ltach LLC is registered in the Medicare PECOS enrollment system.

When is Columbus Hospital Ltach LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (New Jersey, Hospital) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Columbus Hospital Ltach LLC was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.