Provider Demographics
NPI:1518338862
Name:EDGEWATER PARK TOWNSHIP SCHOOLS
Entity Type:Organization
Organization Name:EDGEWATER PARK TOWNSHIP SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-877-2122
Mailing Address - Street 1:25 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-2014
Mailing Address - Country:US
Mailing Address - Phone:609-877-2122
Mailing Address - Fax:609-877-4235
Practice Address - Street 1:25 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EDGEWATER PARK
Practice Address - State:NJ
Practice Address - Zip Code:08010-2014
Practice Address - Country:US
Practice Address - Phone:609-877-2122
Practice Address - Fax:609-877-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No282N00000XHospitalsGeneral Acute Care Hospital
No291U00000XLaboratoriesClinical Medical Laboratory
No305S00000XManaged Care OrganizationsPoint of Service
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No333600000XSuppliersPharmacy
No341600000XTransportation ServicesAmbulance