1518338862 NPI number — EDGEWATER PARK TOWNSHIP SCHOOLS

Table of content: (NPI 1518338862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518338862 NPI number — EDGEWATER PARK TOWNSHIP SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDGEWATER PARK TOWNSHIP SCHOOLS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518338862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25 WASHINGTON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDGEWATER PARK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08010-2014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-877-2122
Provider Business Mailing Address Fax Number:
609-877-4235

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDGEWATER PARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08010-2014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-877-2122
Provider Business Practice Location Address Fax Number:
609-877-4235
Provider Enumeration Date:
10/13/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LANE
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
SCHOOL BUSINESS ADMINISTRATOR
Authorized Official Telephone Number:
609-877-2122

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QS1000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 305S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)