BRIGHTVIEW WOODBURY LAKE
NPI 1336787654
Assisted Living Facility in Woodbury, NJ

Q: What is Bh Brightview Woodbury Lake Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 17, 2019CLIA 31D2234533 · Waiver

752 COOPER STREET, WOODBURY, NJ 08096(856) 848-8777(856) 848-3171 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2020, Dec 17, 2019 (2 updates tracked since 2019).

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About Brightview Woodbury Lake NPPES

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

BRIGHTVIEW WOODBURY LAKE (NPI 1336787654) is a healthcare organization registered as an assisted living facility in Woodbury, New Jersey and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Doug Dollenberg Jr., Bh Brightview Woodbuy Lake Opco, as its authorized official.

NPPES Registry Identity

NPI1336787654

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBH BRIGHTVIEW WOODBURY LAKE OPCO, LLC

Location Address752 COOPER STREETWoodbury, NJ 08096

Mailing Address752 Cooper StreetWoodbury, NJ 08096 · (856) 848-8777 · Fax (856) 848-3171

Phone(856) 848-8777

Fax(856) 848-3171

Organization SubpartNo

Authorized OfficialDoug Dollenberg Jr.Bh Brightview Woodbuy Lake Opco · (410) 962-0595

Enumeration DateDecember 17, 2019

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1336787654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X

752 COOPER STREET, Woodbury, NJ 08096

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Other Names 1

Doing Business AsBrightview Woodbury Lake

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2234533

Bh Brightview Woodbury Lake Opco LLC · Woodbury, NJ

Active · expires Aug 31, 2027

CLIA Number31D2234533

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 1, 2025

Certificate Expiration DateAugust 31, 2027

Laboratory DirectorTracy Gill

Laboratory Phone(856) 848-8777

Laboratory LocationBh Brightview Woodbury Lake Opco LLC752 Cooper Street, Woodbury, NJ 08096

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Bh Brightview Woodbury Lake Opco, LLC's NPI number?

The NPI number for Bh Brightview Woodbury Lake Opco, LLC is 1336787654. It was assigned to this organization in the NPPES registry on December 17, 2019. The provider is doing business as Brightview Woodbury Lake.

Where is Bh Brightview Woodbury Lake Opco, LLC located?

Bh Brightview Woodbury Lake Opco, LLC is located at 752 Cooper Street, Woodbury, NJ 08096. The listed phone number is (856) 848-8777.

What is Bh Brightview Woodbury Lake Opco, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bh Brightview Woodbury Lake Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2234533) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bh Brightview Woodbury Lake Opco, LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.