Healthcare Provider Details

I. General information

NPI: 1265204374
Provider Name (Legal Business Name): ALEXA GELFAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date: 10/24/2023
Reactivation Date: 06/06/2024

III. Provider practice location address

773 CENTRAL AVE
WESTFIELD NJ
07090-2528
US

IV. Provider business mailing address

6 GREENSVIEW CT
SCOTCH PLAINS NJ
07076-2707
US

V. Phone/Fax

Practice location:
  • Phone: 908-228-2740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07040600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: