Provider Demographics
NPI:1508039884
Name:NORTH BERGEN BOARD OF EDUCATION
Entity Type:Organization
Organization Name:NORTH BERGEN BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANDORPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-295-2706
Mailing Address - Street 1:7317 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4014
Mailing Address - Country:US
Mailing Address - Phone:201-295-2706
Mailing Address - Fax:201-868-5713
Practice Address - Street 1:7317 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4014
Practice Address - Country:US
Practice Address - Phone:201-295-2706
Practice Address - Fax:201-868-5713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ251300000XMedicaid