Provider Demographics
NPI:1417318106
Name:NETCONG ELEMENTARY SCHOOL
Entity Type:Organization
Organization Name:NETCONG ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF SCHOOL ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CINOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-347-0020
Mailing Address - Street 1:26 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:NETCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07857-1621
Mailing Address - Country:US
Mailing Address - Phone:973-347-0020
Mailing Address - Fax:973-347-3676
Practice Address - Street 1:26 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:NETCONG
Practice Address - State:NJ
Practice Address - Zip Code:07857-1621
Practice Address - Country:US
Practice Address - Phone:973-347-0020
Practice Address - Fax:973-347-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6397107Medicaid