National Provider Identifier Database

JUAN L RIESTRA, MD – NPI #1841255320
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

JUAN L RIESTRA, MD
70 PARK ST
MONTCLAIR, NJ07042-5907
Phone: 973-655-9300
Fax: 973-439-5780
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for JUAN L RIESTRA

NPI Number 1841255320
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 08/30/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MA05785800
  • NJ Medicaid: 7886802
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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