Provider Demographics
NPI:1225423106
Name:NORTHERN BURLINGTON COUNTY REGIONAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTHERN BURLINGTON COUNTY REGIONAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SBA
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:609-298-3900
Mailing Address - Street 1:160 MANSFIELD RD E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2113
Mailing Address - Country:US
Mailing Address - Phone:609-298-3900
Mailing Address - Fax:609-298-3154
Practice Address - Street 1:160 MANSFIELD RD E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-2113
Practice Address - Country:US
Practice Address - Phone:609-298-3900
Practice Address - Fax:609-298-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6577806Medicaid