BEACON SPECIALIZED LIVING NEW JERSEY, INC.
NPI 1992404792
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Princeton, NJ

Active since March 01, 2023
13 ROSZEL RD STE B110, PRINCETON, NJ 08540(609) 987-5003(609) 520-7979 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Mar 2, 2023 (2 updates tracked since 2023).

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 1992404792) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Princeton, New Jersey and active in the NPI registry since March 2023. The organization lists Darren Hodgdon, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1992404792
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBEACON SPECIALIZED LIVING NEW JERSEY, INC.
Location Address13 ROSZEL RD STE B110Princeton, NJ 08540-6211
Mailing Address13 Roszel Rd Ste B110Princeton, NJ 08540-6211 · (609) 987-5003 · Fax (609) 520-7979
Fax(609) 520-7979
Organization SubpartNo
Authorized OfficialDarren HodgdonChief Operating Officer · (269) 427-8400
Enumeration DateMarch 1, 2023
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
NPI 1992404792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
13 ROSZEL RD STE B110, Princeton, NJ 08540

Other Identifiers 1

Medicaid0450858187NJ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
13 ROSZEL RD STE B110
PRINCETON, NJ 08540
Day Training, Developmentally Disabled Services
13 ROSZEL RD STE B110
PRINCETON, NJ 08540

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 1992404792. It was assigned to this organization in the NPPES registry on March 1, 2023.

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

Beacon Specialized Living New Jersey, Inc. is located at 13 Roszel Rd Ste B110, Princeton, NJ 08540. 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 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Beacon Specialized Living New Jersey, Inc. was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.