Active NPI
Paterson Charter School for Science and Technology
- Local Education Agency (LEA)
- Paterson, NJ
National Provider Identifier
1477957462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 807503970
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159697 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.