Juan Riestra (NPI# 1841255320, PAC ID# 9234263625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1841255320 |
| PAC ID by PECOS | 9234263625 |
| Professional Enrollment ID | I20100820000622 |
| Full Name | Juan Riestra |
| Organization Legal Name | BEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC |
| Address |
1 Bay Ave Montclair NJ 07042-4837 |
| Phone Number | 9734296000 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1987 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9436282514 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| 310054 | HACKENSACKUMC MOUNTAINSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1 Bay Ave, Montclair, NJ 07042-4837 | 9734296000 | BEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC |
| 641 Main St, Paterson, NJ 07503-3028 | 9737544750 | ST JOSEPHS HEALTHCARE INC |
| 799 Bloomfield Ave, Verona, NJ 07044-1367 | 9734296000 | BEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC |
| 220 Hamburg Tpke, Suite 4, Wayne, NJ 07470-2132 | 9733896022 | ST JOSEPHS HEALTHCARE INC |
| Organization Legal Name | BEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul V. Kennedy | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Jeffrey Hall | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Nwayieze Ndukwe | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Ambrose O Mgbako | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Veronica M Jensen | Nurse Practitioner | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Angela Anukam | Nurse Practitioner | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Ketaki Vaidhyanathan | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Fara White | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Ki Sook Yoo | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Michael Zajfert | Psychiatry | Behavioral Health Specialist At Highland LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Street Address |
1 BAY AVE |
| City | MONTCLAIR |
| State | NJ |
| Zip | 07042-4837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Rosenzweig | Podiatry | Mpv New Jersey Md Services PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Michelle O Shea | Surgical Oncology | Mpv New Jersey Md Services PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Holly Cullen | Gastroenterology | Mpv New Jersey Md Services PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Christine Velarde | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Margaret J Wu | Anesthesiology | New Jersey Healthcare Specialists PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Amy G Ali | Internal Medicine | Mpv New Jersey Md Services PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Valentina Kolker | Physician Assistant | Montclair Hospital LLC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Robert H Pittman | Gastroenterology | Mpv New Jersey Md Services PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Mark A Dombrowski | Family Medicine | Mpv New Jersey Md Services PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Dana Fiorito | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnaldo Apolito | Psychiatry | 80 Undercliff Rd, Montclair, NJ 07042-1718 | |
| Kristine T Kaufman | Physical Therapy | Varsha Pohuja LLC | 403 Claremont Ave, Montclair, NJ 07042-1801 |
| Patrick Dipaolo | Hematology/oncology | 781 Bloomfield Ave, Montclair, NJ 07042-1806 | |
| Shae Cali | Clinical Social Worker | 1 Upper Mountain Ave, Montclair, NJ 07042-1871 | |
| Robert Friedman | Clinical Social Worker | 30 Orange Rd, Montclair, NJ 07042-2110 | |
| Marisol Vazquez | Registered Dietitian Or Nutrition Professional | Back To Basics Nutrition Counseling, LLC | 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129 |
| Linda A Ditullio | Clinical Social Worker | 8 Hillside Ave, Suite 108 6, Montclair, NJ 07042-2129 | |
| Beth Dibiase Fiorarancio | Clinical Social Worker | 8 Hillside Ave, Suite 206, Montclair, NJ 07042-2129 | |
| Megan Marchaterre | Registered Dietitian Or Nutrition Professional | Back To Basics Nutrition Counseling, LLC | 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129 |
| Faith C Dunkel | Psychologist, Clinical | 8 Hillside Ave, Suite 108, Montclair, NJ 07042-2129 | |
| Find all physicians in zip 07042 | |||
| City | MONTCLAIR |
| Zip Code | 07042 |
| Specialty | PSYCHIATRY |
| City + Specialty | MONTCLAIR + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.