# NJ DEVELOPMENTAL DISABILITY SERVICES

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487472023
- **Authorized official:** MR. ALAN GOLDBERGER CPC (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (718) 419-9588

## Contact information

- **Practice address:** 32 RUSTIC RD, LAKEWOOD, NJ 08701-4017
- **Practice address phone:** (718) 419-9588
- **Mailing address:** 32 RUSTIC RD, LAKEWOOD, NJ 08701-4017
- **Mailing address phone:** (718) 419-9588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024