Organization Active NPI

Mainland Regional High School

  • Local Education Agency (LEA)
  • Linwood, NJ
National Provider Identifier
1508106634
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MAINLAND REGIONAL HIGH SCHOOL
Practice address
1301 Oak Ave
Linwood, NJ 08221-1653
Phone
(609) 927-4151
Fax
(609) 927-1942
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Ms. Joanne Goldberg
Title
Child Study Director
Phone
(609) 927-4151

Specialties & licenses 1

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

Addresses

Primary practice location

1301 Oak Ave
Linwood, NJ 08221-1653

Mailing address

1301 Oak Ave
Linwood, NJ 08221-1653
Phone (609) 927-4151

Other identifiers 1

IdentifierTypeStateIssuer
0179078MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1301 Oak Ave
Linwood, NJ 08221
Phone (609) 927-4151

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1508106634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 OAK AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211653",
            "telephone_number": "609-927-4151",
            "fax_number": "609-927-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OAK AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211653",
            "telephone_number": "609-927-4151",
            "fax_number": "609-927-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND REGIONAL HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CHILD STUDY DIRECTOR",
        "authorized_official_telephone_number": "609-927-4151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179078",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.