Provider Demographics
NPI:1730303611
Name:BLOOMFIELD BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BLOOMFIELD BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGESERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-680-8501
Mailing Address - Street 1:155 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2638
Mailing Address - Country:US
Mailing Address - Phone:973-680-8501
Mailing Address - Fax:973-748-5722
Practice Address - Street 1:155 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2638
Practice Address - Country:US
Practice Address - Phone:973-680-8501
Practice Address - Fax:973-748-5722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6417604Medicaid