Provider Demographics
NPI:1477893808
Name:VERNON TOWNSHIP SCHOOL DISTRICT
Entity Type:Organization
Organization Name:VERNON TOWNSHIP SCHOOL DISTRICT
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:KEPNES
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:973-764-4186
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:539 ROUTE 515
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-0099
Mailing Address - Country:US
Mailing Address - Phone:973-764-2900
Mailing Address - Fax:973-764-0735
Practice Address - Street 1:539 ROUTE 515
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-0099
Practice Address - Country:US
Practice Address - Phone:973-764-2900
Practice Address - Fax:973-764-0735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7336705Medicaid