Provider Demographics
NPI:1124448899
Name:WOODLAND PARK BOARD OF EDUCATION
Entity type:Organization
Organization Name:WOODLAND PARK BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DIFLURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-317-7721
Mailing Address - Street 1:853 MCBRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2702
Mailing Address - Country:US
Mailing Address - Phone:973-317-7721
Mailing Address - Fax:973-317-7723
Practice Address - Street 1:853 MCBRIDE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2702
Practice Address - Country:US
Practice Address - Phone:973-317-7721
Practice Address - Fax:973-317-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6495605Medicaid