Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomfield Health Pavilion LLC

Organization Psychologist · NPI 1598781973

Bloomfield Health Pavilion LLC is a Psychologist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

86 Bloomfield Ave 1st Fl & Bsmt
Newark, NJ 07104-1905
Phone: (973) 230-3631
Fax: (973) 230-3474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X (NJ)
Psychologist Taxonomy 103T00000X · Licence 051A267 (NJ)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 051A267 (NJ)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 051A267 (NJ)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 051A267 (NJ)
Counseling Psychologist Taxonomy 103TC1900X · Licence 051A267 (NJ)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 051A267 (NJ)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 051A267 (NJ)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 051A267 (NJ)
Nurse Practitioner Taxonomy 363L00000X (NJ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X (NJ)

Record details

NPI number1598781973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Vilshteyn — Ceo · (718) 813-4556
NPI enumeratedJuly 15, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address86 Bloomfield Ave, 1st Floor & Basement, Newark, NJ 07104-1905

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