Provider Demographics
NPI:1326388133
Name:ATLANTIC CITY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:ATLANTIC CITY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-343-7200
Mailing Address - Street 1:1300 ATLANTIC AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-7231
Mailing Address - Country:US
Mailing Address - Phone:609-343-7200
Mailing Address - Fax:609-347-1549
Practice Address - Street 1:1300 ATLANTIC AVENUE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401
Practice Address - Country:US
Practice Address - Phone:609-343-7200
Practice Address - Fax:609-347-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6774504Medicaid