Provider Demographics
NPI:1972076404
Name:MARIA L. VARISCO-ROGERS CHARTER SCHOOL
Entity Type:Organization
Organization Name:MARIA L. VARISCO-ROGERS CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEGARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-481-9001
Mailing Address - Street 1:233 WOODSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-3113
Mailing Address - Country:US
Mailing Address - Phone:973-481-9001
Mailing Address - Fax:
Practice Address - Street 1:243 WOODSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3113
Practice Address - Country:US
Practice Address - Phone:973-481-9001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)