Bloomfield Health Pavilion LLC
Nurse Practitioner, Community Health in Newark, New Jersey
1598781973- Practice location
- 86 Bloomfield Ave, 1ST Floor & Basement, Newark, NJ 07104-1905
- Phone
- 973-230-3631
- Fax
- 973-230-3474
- Last updated
- September 11, 2025
Bloomfield Health Pavilion LLC is a healthcare organization based in Newark, NJ. Bloomfield Health Pavilion LLC practices in Newark, NJ. The NPI Number for Bloomfield Health Pavilion LLC is 1598781973 and holds a License No. 051A267 (NJ). The current practice location address for Bloomfield Health Pavilion LLC is 86 Bloomfield Ave, 1ST Floor & Basement, Newark, NJ 07104-1905 and can be reached out via phone at 973-230-3631 and via fax at 973-230-3474.
Provider Profile Details
- NPI Number
- 1598781973
- Provider Name
- Bloomfield Health Pavilion LLC
- Provider Entity Type
- Organization
- Address
- 86 Bloomfield Ave, 1ST Floor & Basement, Newark, NJ 07104-1905
- Phone Number
- 973-230-3631
- Fax Number
- 973-230-3474
- Primary Taxonomy
- Nurse Practitioner, Community Health · 363LC1500X
- Organization Subpart
- No
- Authorized Official
- Mr. Rostislav Vilshteyn · Ceo · 718-813-4556
- Provider Enumeration Date
- July 15, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 86 Bloomfield Ave
1ST Floor & Basement
Newark, NJ 07104-1905 - City
- Newark
- State
- New Jersey
- Zip
- 07104-1905
- Phone Number
- 973-230-3631
- Fax Number
- 973-230-3474
Provider Business Mailing Address Details
- Address
- 86 Bloomfield Ave
1ST Floor & Basement
Newark, NJ 07104-1905 - City
- Newark
- State
- NJ
- Zip
- 07104-1905
- Phone Number
- 973-230-3631
- Fax Number
- 973-230-3474
License Information
- License Number (1)
- 051A267
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- License Number (2)
- 051a267
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Adult Development & Aging · 103TA0700X
- License Number (3)
- 051a267
- License State (3)
- NJ
- Taxonomy (3)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- License Number (4)
- 051A267
- License State (4)
- NJ
- Taxonomy (4)
- Psychologist, Counseling · 103TC1900X
- License Number (5)
- 051A267
- License State (5)
- NJ
- Taxonomy (5)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (6)
- 051A267
- License State (6)
- NJ
- Taxonomy (6)
- Psychologist · 103T00000X
- License Number (7)
- 051A267
- License State (7)
- NJ
- Taxonomy (7)
- Psychologist, Group Psychotherapy · 103TP2701X
- License Number (8)
- 051a267
- License State (8)
- NJ
- Taxonomy (8)
- Psychologist, Rehabilitation · 103TR0400X
- License State (9)
- NJ
- Taxonomy (9)
- Nurse Practitioner · 363L00000X
- License State (10)
- NJ
- Taxonomy (10)
- Nurse Practitioner, Primary Care · 363LP2300X
- License State (11)
- NJ
- Taxonomy (11)
- Nurse Practitioner, Community Health · 363LC1500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bloomfield Health Pavilion LLC?
The NPI number of Bloomfield Health Pavilion LLC is 1598781973. It was assigned on July 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Bloomfield Health Pavilion LLC?
Bloomfield Health Pavilion LLC is registered under the primary taxonomy Nurse Practitioner, Community Health (code 363LC1500X), licensed in NJ under license number 051A267.
Where does Bloomfield Health Pavilion LLC practice?
The practice location is 86 Bloomfield Ave, 1ST Floor & Basement, Newark, NJ 07104-1905. The office can be reached at 973-230-3631 (phone) or 973-230-3474 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598781973 directly on the NPPES registry website.