Redstone, Jeremiah S.
Redstone, Jeremiah S. is an sole proprietor health care provider with primary practice located at 200 S Orange Ave Ste 170 , Livingston NJ 07039-5817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Redstone, Jeremiah S. can be contacted via phone (212) 249-1500.Contact Information
Primary practice address
200 S Orange Ave Ste 170
Livingston NJ 07039-5817
Phone: (212) 249-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 25MA08738100 | New Jersey |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 256024 | New York |
Profile Details
| NPI number | 1689851172 |
|---|---|
| LBN Legal business name | Redstone, Jeremiah S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2008 |
| Last updated | May 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689851172 | NPPES |
| New Jersey | MEDICAID | 0455237 |
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