Provider Demographics
NPI:1356680185
Name:WEEHAWKEN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WEEHAWKEN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-422-6126
Mailing Address - Street 1:53 LIBERTY PL
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-7023
Mailing Address - Country:US
Mailing Address - Phone:201-422-6126
Mailing Address - Fax:201-422-6159
Practice Address - Street 1:53 LIBERTY PL
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-7023
Practice Address - Country:US
Practice Address - Phone:201-422-6126
Practice Address - Fax:201-422-6159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ251300000XMedicaid