Provider Demographics
NPI:1265204374
Name:GELFAND, ALEXA
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:GELFAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 E CHERRY ST APT 412
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-4282
Mailing Address - Country:US
Mailing Address - Phone:908-472-7809
Mailing Address - Fax:
Practice Address - Street 1:773 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2528
Practice Address - Country:US
Practice Address - Phone:908-228-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2024-06-06
Deactivation Date:2023-10-24
Deactivation Code:
Reactivation Date:2024-06-06
Provider Licenses
StateLicense IDTaxonomies
NJ44SL070406001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical