Active NPI
Jeremiah S Redstone, M.D., P.C.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1013220706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- JEREMIAH S REDSTONE, M.D., P.C.
- Practice address
- 45 E 85TH St
New York, NY 10028-0957 - Phone
- (212) 249-1500
- NPI assigned
- Jul 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeremiah Star Redstone, M.D.
- Title
- President
- Phone
- (646) 509-8547
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
45 E 85TH St
New York, NY 10028-0957
Mailing address
212 Warren St
11N
New York, NY 10282-5802
Phone (646) 509-8547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A100031584 | Other | NY | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1013220706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 WARREN ST",
"address_2": "11N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102825802",
"telephone_number": "646-509-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E 85TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280957",
"telephone_number": "212-249-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREMIAH S REDSTONE, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-22",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "REDSTONE",
"authorized_official_first_name": "JEREMIAH",
"authorized_official_middle_name": "STAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-509-8547",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "A100031584",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.