Healthcare Provider Details

I. General information

NPI: 1669386983
Provider Name (Legal Business Name): MS. ILANA TOLPIN LEVITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SPRINGFIELD RD # 8816
EAST BRUNSWICK NJ
08816-2640
US

IV. Provider business mailing address

4 SPRINGFIELD RD # 08816
EAST BRUNSWICK NJ
08816-2640
US

V. Phone/Fax

Practice location:
  • Phone: 908-812-2245
  • Fax:
Mailing address:
  • Phone: 908-812-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00028700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: