1730346198 NPI number — HAWTHORNE BOARD OF EDUCATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730346198 NPI number — HAWTHORNE BOARD OF EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAWTHORNE BOARD OF 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:
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:
1730346198
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2
Provider Second Line Business Mailing Address:
445 LAFAYETTE AVE
Provider Business Mailing Address City Name:
HAWTHORNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07507-0002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-427-1300
Provider Business Mailing Address Fax Number:
973-427-1757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
445 LAFAYETTE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAWTHORNE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07506-2551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-427-1300
Provider Business Practice Location Address Fax Number:
973-427-1757
Provider Enumeration Date:
05/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LYNCH
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SCHOOL BUSINESS ADMIN /BD SEC
Authorized Official Telephone Number:
973-427-1300

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7171901 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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