Nurse Practitioner, Community Health
BLOOMFIELD HEALTH PAVILION LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1598781973 · enumerated 2006-07-15 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. ROSTISLAV VILSHTEYN, CEO · (718) 813-4556
Addresses and phones
- Practice location 86 BLOOMFIELD AVE, 1ST FLOOR & BASEMENT, NEWARK, NJ, 07104-1905 (973) 230-3631 Fax (973) 230-3474 Google Maps Apple Maps OpenStreetMap
- Mailing address 86 BLOOMFIELD AVE, 1ST FLOOR & BASEMENT, NEWARK, NJ, 07104-1905 (973) 230-3631 Fax (973) 230-3474 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist, Addiction (Substance Use Disorder) 103TA0400X · License 051A267 NJ
- Psychologist, Adult Development & Aging 103TA0700X · License 051a267 NJ
- Psychologist, Cognitive & Behavioral 103TB0200X · License 051a267 NJ
- Psychologist, Counseling 103TC1900X · License 051A267 NJ
- Psychologist, Clinical Child & Adolescent 103TC2200X · License 051A267 NJ
- Psychologist 103T00000X · License 051A267 NJ
- Psychologist, Group Psychotherapy 103TP2701X · License 051A267 NJ
- Psychologist, Rehabilitation 103TR0400X · License 051a267 NJ
- Nurse Practitioner 363L00000X
- Nurse Practitioner, Primary Care 363LP2300X
- Nurse Practitioner, Community Health 363LC1500X · Primary
In this directory
Locations and evidence
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Practice location
NEWARK, NJ, 071041905
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.