Provider Demographics
NPI:1093987356
Name:BOARD OF EDUCATION OF TINTON FALLS
Entity Type:Organization
Organization Name:BOARD OF EDUCATION OF TINTON FALLS
Other - Org Name:TINTON FALLS SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SYDNEY-GENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-460-2406
Mailing Address - Street 1:658 TINTON AVE
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4006
Mailing Address - Country:US
Mailing Address - Phone:732-460-2400
Mailing Address - Fax:732-542-1158
Practice Address - Street 1:658 TINTON AVE
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-4006
Practice Address - Country:US
Practice Address - Phone:732-460-2400
Practice Address - Fax:732-542-1158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251300000X171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0148091Medicaid