Bienstock, Jeffrey M

Bienstock, Jeffrey M is an individual health care provider with primary practice located at 20-20 Fair Lawn Ave , Fair Lawn NJ 07410-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bienstock, Jeffrey M can be contacted via phone (201) 791-4545.

Contact Information

Primary practice address
20-20 Fair Lawn Ave Fair Lawn NJ 07410-2300
Fax: (201) 791-3709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA051445 New Jersey

Profile Details

NPI number 1992760904
LBN Legal business name Bienstock, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 15th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992760904 NPPES
New Jersey MEDICAID 5217504

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