=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154288793
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TOVA GITTEL NEUBERGER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2026
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13523 78TH RD
-----------------------------------------------------
City | KEW GARDENS HILLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11367-3239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-688-0722
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30A KING DAVID DR
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08701-4667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-218-5936
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 44SL07388400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------