Healthcare Provider Details

I. General information

NPI: 1437014057
Provider Name (Legal Business Name): TOVA HALBERSTAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 WOODLAND DR
LAKEWOOD NJ
08701-3040
US

IV. Provider business mailing address

25 LEWIN AVE
LAKEWOOD NJ
08701-4674
US

V. Phone/Fax

Practice location:
  • Phone: 908-910-3080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01276000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: