Healthcare Provider Details

I. General information

NPI: 1427272632
Provider Name (Legal Business Name): PLAINFIELD BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MYRTLE AVE
PLAINFIELD NJ
07063-1139
US

IV. Provider business mailing address

504 MADISON AVE
PLAINFIELD NJ
07060-1540
US

V. Phone/Fax

Practice location:
  • Phone: 908-731-4378
  • Fax:
Mailing address:
  • Phone: 908-731-4335
  • Fax: 908-731-4345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. VICTOR DEMMING
Title or Position: BOARD BUSINESS ADMINISTRATOR
Credential:
Phone: 908-731-4226