OrganizationActive

Bloomfield Health Pavilion LLC

NPI 1598781973 · Community Health Nurse Practitioner · Newark, NJ

Provider details

NPI number: 1598781973
Entity type: Organization
Primary specialty: Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Rostislav Vilshteyn, Ceo(718) 813-4556
License: 051A267 (NJ)

Community Health Nurse PractitionerPrimary363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
Addiction (Substance Use Disorder) Psychologist103TA0400XLicense 051A267 (NJ)
Behavioral Health & Social Service Providers
Adult Development & Aging Psychologist103TA0700XLicense 051A267 (NJ)
Behavioral Health & Social Service Providers
Cognitive & Behavioral Psychologist103TB0200XLicense 051A267 (NJ)
Behavioral Health & Social Service Providers
Counseling Psychologist103TC1900XLicense 051A267 (NJ)
Behavioral Health & Social Service Providers
Clinical Child & Adolescent Psychologist103TC2200X

86 Bloomfield Ave

1st Floor & Basement

Newark, NJ 07104-1905

Phone: (973) 230-3631

Fax: (973) 230-3474

Approximate (ZIP-level) locationGet directions

86 Bloomfield Ave

Newark, NJ 07104-1905

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.