Provider Demographics
NPI:1003022716
Name:JERSEY CITY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:JERSEY CITY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PETROSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-915-6079
Mailing Address - Street 1:346 CLAREMONT AVE
Mailing Address - Street 2:SPECIAL EDUCATION DEPARTMENT
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1634
Mailing Address - Country:US
Mailing Address - Phone:201-915-6079
Mailing Address - Fax:201-200-9433
Practice Address - Street 1:346 CLAREMONT AVE
Practice Address - Street 2:SPECIAL EDUCATION DEPARTMENT
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1634
Practice Address - Country:US
Practice Address - Phone:201-915-6079
Practice Address - Fax:201-200-9433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6397301Medicaid