Provider Demographics
NPI:1619188646
Name:MONROE TOWNSHIP SCHOOLS
Entity Type:Organization
Organization Name:MONROE TOWNSHIP SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR-PPS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-860-1403
Mailing Address - Street 1:423 BUCKELEW AVENUE
Mailing Address - Street 2:PUPIL PERSONNEL SERVICES
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831
Mailing Address - Country:US
Mailing Address - Phone:732-521-3200
Mailing Address - Fax:
Practice Address - Street 1:423 BUCKELEW AVE
Practice Address - Street 2:PUPIL PERSONNEL SERVICES
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-2976
Practice Address - Country:US
Practice Address - Phone:732-521-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6726801Medicaid