Provider Demographics
NPI:1669828893
Name:MONMOUTH REGIONAL HIGH SCHOOL
Entity Type:Organization
Organization Name:MONMOUTH REGIONAL HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR/SECRE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:732-542-1170
Mailing Address - Street 1:1 NORMAN J FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4005
Mailing Address - Country:US
Mailing Address - Phone:732-542-1170
Mailing Address - Fax:732-542-5815
Practice Address - Street 1:1 NORMAN J FIELD WAY
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-4005
Practice Address - Country:US
Practice Address - Phone:732-542-1170
Practice Address - Fax:732-542-5815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0156345Medicaid