Provider Demographics
NPI:1407226483
Name:OXFORD TWP BOARD OF EDUCATION
Entity Type:Organization
Organization Name:OXFORD TWP BOARD OF EDUCATION
Other - Org Name:OXFORD CENTRAL SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DERISO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-453-4101
Mailing Address - Street 1:17 KENT ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07863-3046
Mailing Address - Country:US
Mailing Address - Phone:908-453-4101
Mailing Address - Fax:
Practice Address - Street 1:17 KENT ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NJ
Practice Address - Zip Code:07863-3046
Practice Address - Country:US
Practice Address - Phone:908-453-4101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0158437Medicaid