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BLOOMFIELD HEALTH PAVILION LLC
NPI 1598781973
Nurse Practitioner - Community Health in Newark, NJ

Active since July 15, 2006
86 BLOOMFIELD AVE, 1ST FLOOR & BASEMENT, NEWARK, NJ 07104(973) 230-3631(973) 230-3474 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Bloomfield Health Pavilion Llc NPPES

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

BLOOMFIELD HEALTH PAVILION LLC (NPI 1598781973) is a healthcare organization registered as a community health in Newark, New Jersey and active in the NPI registry since July 2006. The organization lists Rostislav Vilshteyn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598781973
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameBLOOMFIELD HEALTH PAVILION LLC
Location Address86 BLOOMFIELD AVE, 1ST FLOOR & BASEMENTNewark, NJ 07104-1905
Mailing Address86 Bloomfield Ave, 1st Floor & BasementNewark, NJ 07104-1905 · (973) 230-3631 · Fax (973) 230-3474
Phone(973) 230-3631
Fax(973) 230-3474
Organization SubpartNo
Authorized OfficialRostislav VilshteynCeo · (718) 813-4556
Enumeration DateJuly 15, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1598781973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
Also ListedPsychologistTaxonomy 103T00000X · License 051A267 (NJ)
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 051A267 (NJ)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 051A267 (NJ)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 051A267 (NJ)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 051A267 (NJ)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 051A267 (NJ)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 051A267 (NJ)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 051A267 (NJ)
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
86 BLOOMFIELD AVE, Newark, NJ 07104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WORLD WIDE PHYSICAL AND MASSAGE THERAPY
Clinic/Center (Multi-Specialty)
86 BLOOMFIELD AVE, BASEMENT
NEWARK, NJ 07104
Essex County (973) 900-5060
ACUPUNCTURE HEALTHCARE PLAZA III
Acupuncturist
86 BLOOMFIELD AVE
NEWARK, NJ 07104
Essex County (973) 900-6050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomfield Health Pavilion LLC's NPI number?

The NPI number for Bloomfield Health Pavilion LLC is 1598781973. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Bloomfield Health Pavilion LLC located?

Bloomfield Health Pavilion LLC is located at 86 Bloomfield Ave 1st Floor & Basement, Newark, NJ 07104. The listed phone number is (973) 230-3631.

What is Bloomfield Health Pavilion LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Bloomfield Health Pavilion LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.