Healthcare Provider Details

I. General information

NPI: 1578070215
Provider Name (Legal Business Name): ESSEX REGIONAL EDUCATIONAL SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 FAIRFIELD PL
WEST CALDWELL NJ
07006-6206
US

IV. Provider business mailing address

333 FAIRFIELD RD
FAIRFIELD NJ
07004-1961
US

V. Phone/Fax

Practice location:
  • Phone: 973-405-6262
  • Fax: 973-405-6262
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN FERRARO
Title or Position: SCHOOL BUSINESS ADMINISTRATOR
Credential:
Phone: 973-405-6262