Organization Active NPI

Paterson Charter School for Science and Technology

  • Local Education Agency (LEA)
  • Paterson, NJ
National Provider Identifier
1477957462
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
807503970 Issued in NJ
Legal business name
PATERSON CHARTER SCHOOL FOR SCIENCE AND TECHNOLOGY
Practice address
196 W Railway Ave
Paterson, NJ 07503-2227
Phone
(973) 247-0600
Fax
(973) 247-9924
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Irfan Evcil, MBA
Title
Sba/Board Secretary
Phone
(973) 873-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 807503970 NJ Primary

Addresses

Primary practice location

196 W Railway Ave
Paterson, NJ 07503-2227

Mailing address

669 River Dr
Ste 140
Elmwood Park, NJ 07407-1312
Phone (973) 873-0003

Other identifiers 1

IdentifierTypeStateIssuer
0159697MedicaidNJ

National Provider Directory

National Provider Directory

Locations

669 River Dr
Ste 140
Elmwood Park, NJ 07407

196 W Railway Ave
Paterson, NJ 07503
Phone (973) 247-0600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1477957462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 RIVER DR",
            "address_2": "STE 140",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071312",
            "telephone_number": "973-873-0003",
            "fax_number": "973-247-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 W RAILWAY AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032227",
            "telephone_number": "973-247-0600",
            "fax_number": "973-247-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON CHARTER SCHOOL FOR SCIENCE AND TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "EVCIL",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "SBA/BOARD SECRETARY",
        "authorized_official_telephone_number": "973-873-0003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NJ",
            "license": "807503970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159697",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.