Healthcare Provider Details

I. General information

NPI: 1568257335
Provider Name (Legal Business Name): HERSCHEL TZVI CHAITOFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SPRINGDALE RD STE 150
CHERRY HILL NJ
08003-2763
US

IV. Provider business mailing address

1301 SPRINGDALE RD STE 150
CHERRY HILL NJ
08003-2763
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-1333
  • Fax:
Mailing address:
  • Phone: 856-424-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FA00066500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: