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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1689851172 NPPES
New Jersey MEDICAID 0455237

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