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Beacon Specialized Living New Jersey, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Old Bridge, NJ

NPI 1497612642 · NPPES record last updated Jan 8, 2026

Key facts

NPI
1497612642
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
BEACON SPECIALIZED LIVING NEW JERSEY, INC.
Practice address
21 Morningside Dr
Old Bridge, NJ 08857-2713
Phone
(609) 987-5003
Fax
(609) 520-7979
NPI assigned
Jan 8, 2026
Organization subpart
No

Authorized official

Name
Darren Hodgdon
Title
President
Phone
(269) 427-8400

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beacon Specialized Living New Jersey Inc (61 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

21 Morningside Dr
Old Bridge, NJ 08857-2713

Mailing address

13 Roszel Rd Ste B110
Princeton, NJ 08540-6211
Phone (609) 987-5003

Other identifiers

IdentifierTypeStateIssuer
0943631MedicaidNJ

Other providers in Old Bridge, NJ

All providers in Old Bridge, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.