Healthcare Provider Details

I. General information

NPI: 1851990220
Provider Name (Legal Business Name): TZVI FRIEDMAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 FRANKLIN AVE
NUTLEY NJ
07110-1209
US

IV. Provider business mailing address

142 MARIETTA AVE
PASSAIC NJ
07055-4404
US

V. Phone/Fax

Practice location:
  • Phone: 443-301-3270
  • Fax:
Mailing address:
  • Phone: 443-301-3270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAC-GTL-20-01792
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: