1154568434 NPI number — BERGEN COUNTY BOARD OF VOCATIONAL EDUCATION

Table of content: (NPI 1154568434)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154568434 NPI number — BERGEN COUNTY BOARD OF VOCATIONAL EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BERGEN COUNTY BOARD OF VOCATIONAL EDUCATION
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:
BERGEN REGIONAL EMS
Provider Other Organization Name Type Code:
3
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:
1154568434
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 EXCHANGE PL FL 17
Provider Second Line Business Mailing Address:
C/O NW INSURANCE
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07302-4929
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-656-0115
Provider Business Mailing Address Fax Number:
201-656-4905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
327 E RIDGEWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAMUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07652-4819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-634-2602
Provider Business Practice Location Address Fax Number:
201-634-3020
Provider Enumeration Date:
01/08/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RICCARDELLA
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS DIRECTOR
Authorized Official Telephone Number:
201-634-2602

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  R0211083 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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