OrganizationActive
Columbus Hospital Ltach, LLC
NPI 1205111028 · Long Term Care Hospital · Newark, NJ
Provider details
- NPI number
- 1205111028
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Richard Burguillos, Cfo(973) 587-7707
- License
- 24009 (NJ)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
495 N 13th Street
Newark, NJ 07107-1317
Phone: (973) 587-7777
Fax: (973) 587-7830
Street-level locationGet directions
Mailing address
495 N 13th Street
Newark, NJ 07107-1317
Registry dates
- Enumerated
- 2011-10-12
- Last updated
- 2011-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.