BH Brightview Woodbury Lake Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BH BRIGHTVIEW WOODBURY LAKE OPCO, LLC

Doing business as

Brightview Woodbury Lake

Practice address

752 Cooper Street
Woodbury, NJ 08096

Phone

(856) 848-8777

Fax

(856) 848-3171

NPI assigned

Dec 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doug Dollenberg Jr.

Title

BH Brightview Woodbuy Lake Opco

Phone

(410) 962-0595

Specialties & licenses 2

Addresses

Other names 1

• Brightview Woodbury Lake Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1336787654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 COOPER STREET",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-848-8777",
            "fax_number": "856-848-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 COOPER STREET",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-848-8777",
            "fax_number": "856-848-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH BRIGHTVIEW WOODBURY LAKE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "DOLLENBERG JR.",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BH BRIGHTVIEW WOODBUY LAKE OPCO",
        "authorized_official_telephone_number": "410-962-0595"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightview Woodbury Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightview Woodbury Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sambita Basu Bellman, MD
• Berat Corporation
• Laura Berman, MS CCC-A
• Jenna Bertino, LSW, LCADC
• Jeffrey Lawrence Bessey, PH.D.
• Yostina Montasser Bichay, M.D.
• Susan Ann Bidigare, M.D.
• Nancy A. Bierman-Dear, M.D.
• Francene Black, MD
• Pamela E Blair, LSW

• Assisted Living Facility in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.