Organization Active NPI

DPSP Healthcare LLC

  • Assisted Living Facility
  • Woodbury, NJ
National Provider Identifier
1790112134
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
04A015 Issued in NJ
Legal business name
DPSP HEALTHCARE LLC
Practice address
401 S Evergreen Ave
Woodbury, NJ 08096-2740
Phone
(856) 308-2163
NPI assigned
Sep 30, 2013
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Susan Macdonald
Title
Partner/Admin
Phone
(609) 221-2352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 04A015 NJ Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

401 S Evergreen Ave
Woodbury, NJ 08096-2740

Mailing address

102 Hearthstone Dr
Berlin, NJ 08009-9550
Phone (856) 308-2163

National Provider Directory

National Provider Directory
Tax ID family
DPSP Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1790112134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HEARTHSTONE DR",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099550",
            "telephone_number": "856-308-2163",
            "fax_number": "856-481-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962740",
            "telephone_number": "856-308-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPSP HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PARTNER/ADMIN",
        "authorized_official_telephone_number": "609-221-2352"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "04A015",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.