Organization Active NPI

Jersey Shore Area School District

  • Local Education Agency (LEA)
  • Jersey Shore, PA
National Provider Identifier
1619036258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JERSEY SHORE AREA SCHOOL DISTRICT
Practice address
175 A and P Dr
Jersey Shore, PA 17740-7814
Phone
(570) 398-1566
Fax
(570) 398-5089
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert L Conroy
Title
Asst. Superintendent
Phone
(570) 398-1566

Specialties & licenses 1

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

Addresses

Primary practice location

175 A and P Dr
Jersey Shore, PA 17740-7814

Mailing address

175 A and P Dr
Jersey Shore, PA 17740-7814
Phone (570) 398-1566

Other identifiers 1

IdentifierTypeStateIssuer
1010335820001MedicaidPA

National Provider Directory

National Provider Directory

Locations

175 A and P Dr
Jersey Shore, PA 17740
Phone (570) 398-1566

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619036258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 A AND P DR",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177407814",
            "telephone_number": "570-398-1566",
            "fax_number": "570-398-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 A AND P DR",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177407814",
            "telephone_number": "570-398-1566",
            "fax_number": "570-398-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE AREA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASST. SUPERINTENDENT",
        "authorized_official_telephone_number": "570-398-1566"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010335820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Shore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.