Provider Demographics
NPI:1225472269
Name:NUTLEY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:NUTLEY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEAMANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-667-8797
Mailing Address - Street 1:315 FRANKLIN AVE., NUTLEY PUBLIC SCHOOLS
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2734
Mailing Address - Country:US
Mailing Address - Phone:973-667-8797
Mailing Address - Fax:973-320-8475
Practice Address - Street 1:315 FRANKLIN AVE., NUTLEY PUBLIC SCHOOLS
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2734
Practice Address - Country:US
Practice Address - Phone:973-667-8797
Practice Address - Fax:973-320-8475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6002168OtherNUTLEY SCHOOL DISTRICT