BEACON SPECIALIZED LIVING NEW JERSEY, INC.
NPI 1376400515
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Blackwood, NJ

Q: What is Beacon Specialized Living New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 08, 2026

40 CRESTWOOD AVE, BLACKWOOD, NJ 08012(609) 987-5003(609) 520-7979 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Beacon Specialized Living New Jersey, Inc. NPPES

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

BEACON SPECIALIZED LIVING NEW JERSEY, INC. (NPI 1376400515) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Blackwood, New Jersey and active in the NPI registry since January 2026. The organization lists Darren Hodgdon, President, as its authorized official.

NPPES Registry Identity

NPI1376400515

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBEACON SPECIALIZED LIVING NEW JERSEY, INC.

Location Address40 CRESTWOOD AVEBlackwood, NJ 08012-5235

Mailing Address13 Roszel Rd Ste B110Princeton, NJ 08540-6211 · (609) 987-5003 · Fax (609) 520-7979

Phone(609) 987-5003

Fax(609) 520-7979

Organization SubpartNo

Authorized OfficialDarren HodgdonPresident · (269) 427-8400

Enumeration DateJanuary 8, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1376400515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

40 CRESTWOOD AVE, Blackwood, NJ 08012

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Other Identifiers 1

Medicaid0943631NJ

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 Beacon Specialized Living New Jersey, Inc.'s NPI number?

The NPI number for Beacon Specialized Living New Jersey, Inc. is 1376400515. It was assigned to this organization in the NPPES registry on January 8, 2026.

Where is Beacon Specialized Living New Jersey, Inc. located?

Beacon Specialized Living New Jersey, Inc. is located at 40 Crestwood Ave, Blackwood, NJ 08012. The listed phone number is (609) 987-5003.

What is Beacon Specialized Living New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Beacon Specialized Living New Jersey, Inc. was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.