OLIVIA BROOKE CHAFITZ MD
NPI 1053994749
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since April 30, 2021
30 PROSPECT AVE, HACKENSACK, NJ 07601(443) 790-0123 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2021, Apr 30, 2021 (2 updates tracked since 2021).

About Olivia Brooke Chafitz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA BROOKE CHAFITZ MD (NPI 1053994749) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since April 2021. She maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1053994749
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA BROOKE CHAFITZCredential: MD
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address621 Madison Ave Apt FCharlottesville, VA 22903-2115 · (443) 790-0123
Sole ProprietorNo
Enumeration DateApril 30, 2021
Last NPPES UpdateJune 10, 20212 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1053994749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

30 PROSPECT AVE, Hackensack, NJ 07601

Secondary Practice Location 1

Location 1621 Madison Ave Apt FCharlottesville, VA 22903-2115 · Phone (443) 790-0123

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053994749, enumerated as an "individual" on April 30, 2021.

The provider is located at 30 PROSPECT AVE HACKENSACK, NJ 07601 and the phone number is (443) 790-0123.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.