Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BEACON SPECIALIZED LIVING NEW JERSEY, INC.
Active
Organization
BEACON SPECIALIZED LIVING NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN HODGDON (CHIEF EXECUTIVE OFFICER)
(269) 427-8400
Entity
Organization
Contact information
Practice address
26 ROBERTS DR, NEPTUNE, NJ 07753-3223
(732) 918-2034
Mailing address
13 ROSZEL RD STE B110, PRINCETON, NJ 08540-6211
(609) 987-5003
(609) 520-7979
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450858187
—
NJ
Enumeration date
03/01/2023
Last updated
03/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers