Provider Demographics
NPI:1770822942
Name:MT. OLIVE TWP. BOARD OF EDUCATION
Entity Type:Organization
Organization Name:MT. OLIVE TWP. BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:073-691-4008
Mailing Address - Street 1:89 US HIGHWAY ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828-1703
Mailing Address - Country:US
Mailing Address - Phone:973-691-4008
Mailing Address - Fax:972-691-4024
Practice Address - Street 1:89 ROUTE 46
Practice Address - Street 2:
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828-1703
Practice Address - Country:US
Practice Address - Phone:973-691-4008
Practice Address - Fax:972-691-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0177440Medicaid