Ridgewood Senior Living at Historic Smithville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIDGEWOOD SENIOR LIVING AT HISTORIC SMITHVILLE, LLC

Practice address

705 E Moss Mill Rd
Galloway, NJ 08205-4219

Phone

(609) 746-1700

NPI assigned

Mar 18, 2025

Organization subpart

No

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

Authorized official

Name

Charles Dixon

Title

Executive Director

Phone

(609) 746-1700

Specialties & licenses 1

Addresses

Other names 1

• Ridgewood Senior Living at Historic Smithville 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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1376343376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MOSS MILL RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054219",
            "telephone_number": "609-573-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MOSS MILL RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054219",
            "telephone_number": "609-746-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD SENIOR LIVING AT HISTORIC SMITHVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-746-1700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgewood Senior Living at Historic Smithville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Rencher
• Res-Care New Jersey, Inc.
• Restore Physical Therapy & Wellness
• Janet Lee Revelle, AUD
• Jade Rhodas, MMT
• Lauren Elizabeth Riley, LSW
• Melissa Lynette Ring, DPT
• Celida Ines Rivera, LAC
• Robert Marsico Inc.
• Robert R R Sudol MD LLC

• Assisted Living Facility in Galloway, NJ
• Providers in Galloway, 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 Mar 18, 2025; 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.