| Juan L Riestra, MD | |
|
220 Hamburg Tpke Ste 1, Wayne, NJ 07470-2132 | |
| (973) 389-6020 | |
| (973) 389-6023 |
| Full Name | Juan L Riestra |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 39 Years |
| Location | 220 Hamburg Tpke Ste 1, Wayne, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841255320 | NPI | - | NPPES |
| 7886802 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 25MA05785800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's University Medical Center Inc | Paterson, NJ | Hospital |
| Hackensack Meridian Mountainside Medical | Montclair, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mpv New Jersey Md Services Pc | 5991097669 | 146 |
| St Josephs Healthcare Inc | 9739171984 | 21 |
| St Josephs Medical Group Pc | 8628470325 | 217 |
| Entity Name | St Josephs Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
| Entity Name | Mpv New Jersey MD Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215391271 PECOS PAC ID: 5991097669 Enrollment ID: O20160718000760 |
| Entity Name | St Josephs Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan L Riestra, MD 1 Rubino Rd, West Caldwell, NJ 07006-8033 Ph: (973) 985-1698 | Juan L Riestra, MD 220 Hamburg Tpke Ste 1, Wayne, NJ 07470-2132 Ph: (973) 389-6020 |
Dr. Cecilia Saixi Wang, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2035 Hamburg Tpke, Suite M, Wayne, NJ 07470 Phone: 973-839-2945 Fax: 973-839-1244 |
Mr. Mohamed A Elrafei, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 Hamburg Tpke, Suit 303, Wayne, NJ 07470 Phone: 973-790-9222 Fax: 973-790-0871 |
Dr. Robert Austin Wagner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23 Ste 300, Wayne, NJ 07470 Phone: 973-942-4778 Fax: 973-942-7020 |
Nafeesa Siddiqui, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470 Phone: 973-904-3161 Fax: 973-904-3163 |
Dr. Eliot Howard Chodosh, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1680 Route 23 Ste 300, Wayne, NJ 07470 Phone: 973-942-4778 Fax: 973-942-7020 |
Frank Louis Gazzillo Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 220 Hamburg Tpke, Suite 16, Wayne, NJ 07470 Phone: 973-942-4778 Fax: 973-942-7020 |
Asad Hussain, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1536 State Route 23 # 1036, Wayne, NJ 07470 Phone: 848-444-2896 Fax: 732-251-2415 |