Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427821461 Individual Practitioner Female Practitioner

Latoya L Chisolm

Specialist • Wayne, NJ

Professional Overview & Biography Verified Profile Summary

Latoya Chisolm is a registered healthcare professional specializing in Specialist in Wayne, NJ. Practice services are available at 155 WILLOWBROOK BLVD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

155 Willowbrook Blvd Ste 110

Wayne, NJ 074707033

Telephone 3478503666
Associated Practice Facility / Clinic
🏢 Intouch Medical Consult, Llc Facility NPI 1851006613

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wayne, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
29 Specialists

Practicing in Wayne, NJ (1802 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-01
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1043086705

Licensed Clinical Social Worker

Arlene Joseph , LSW

Social Worker - Clinical

NPI 1083207559

Licensed Social Worker

NPI 1134091424
Jamie Deruyter Swart , LPC

Counselor - Professional

NPI 1134384688

Licensed Professional Counselor

Dr. Joseph Stricker , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1366974248

Doctor of Medicine (M.D.)

Cristal Vargas

Case Manager/Care Coordinator

NPI 1376269837

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2023

Registered at 155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 074707033 (Tel: 3478503666)

📍
Updated Business Mailing Address November 01, 2023

Registered at 155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 074707033 (Tel: 3478503666)

👤
Provider Name / Credentials Updated November 01, 2023

Recorded as LATOYA CHISOLM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Specialist

🟢
Initial NPI Registration & Enumeration November 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427821461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2023
Last Update: November 01, 2023
Sole Proprietor: Yes

Mailing Address

155 Willowbrook Blvd Ste 110

Wayne, NJ 074707033

Phone: 3478503666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.