Provider Demographics
NPI:1437499944
Name:ENGLEWOOD CITY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ENGLEWOOD CITY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADM/BOARD SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGELEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-862-6271
Mailing Address - Street 1:274 KNICKERBOCKER RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1534
Mailing Address - Country:US
Mailing Address - Phone:201-862-6000
Mailing Address - Fax:
Practice Address - Street 1:274 KNICKERBOCKER RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1534
Practice Address - Country:US
Practice Address - Phone:201-862-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6730400Medicaid