Anna Kirshblum LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANNA KIRSHBLUM LLC

Practice address

71 Woodland Ave
West Orange, NJ 07052-2930

Phone

(973) 449-0401

NPI assigned

Oct 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Fudim-Kirshblum, LCSW

Title

Owner

Phone

(973) 499-0401

Specialties & licenses 1

Addresses

Other names 1

• Kirshblum Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1235893603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WOODLAND AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522930",
            "telephone_number": "973-449-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WOODLAND AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522930",
            "telephone_number": "973-449-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA KIRSHBLUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "FUDIM-KIRSHBLUM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-499-0401",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirshblum",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miryam Anci-Jimenez, NURSE PRACTITIONER
• Andreas a. Savopoulos,M.D.P.a.
• Patricia Andreville, REGISTERED NURSE
• Anesthesia Group of Orange
• Anjali R. Gupta, M.D. P.C.
• Anna Kirshblum LLC
• Annie Qu Acupuncture LLC
• Yael Antebi, M.D.
• Mariola Magdalena Antolak, OTR/L
• Rose Antony, FNP-C

• All providers in West Orange, NJ
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.