Great Oaks Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GREAT OAKS CHARTER SCHOOL

Doing business as

Great Oaks Legacy Charter School

Practice address

909 Broad St
Newark, NJ 07102-2622

Phone

(862) 256-0909

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin B Carson

Title

Cfo

Phone

(862) 256-0909

Specialties & licenses 1

Addresses

Other names 1

• Great Oaks Legacy Charter School Doing business as

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1609362839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022622",
            "telephone_number": "862-256-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022622",
            "telephone_number": "862-256-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT OAKS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "862-256-0909"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Oaks Legacy Charter School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Oaks Legacy Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Local Education Agency (LEA) in Newark, NJ
• Providers in Newark, NJ by specialty
• Local Education Agency (LEA) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.