Provider Demographics
NPI:1154532075
Name:HILLSIDE TWP. PUBLLIC SCHOOL
Entity type:Organization
Organization Name:HILLSIDE TWP. PUBLLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-352-7664
Mailing Address - Street 1:HILLSIDE HIGH SCHOOL - DEPT OF SPECIAL SERVICES
Mailing Address - Street 2:1085 LIBERTY AVE.
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205
Mailing Address - Country:US
Mailing Address - Phone:908-352-7664
Mailing Address - Fax:908-282-5851
Practice Address - Street 1:HILLSIDE HIGH SCHOOL - DEPT OF SPECIAL SERVICES
Practice Address - Street 2:1085 LIBERTY AVE.
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205
Practice Address - Country:US
Practice Address - Phone:908-352-7664
Practice Address - Fax:908-282-5851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6730701Medicaid