Individual provider Active NPI

Theresa Marie Redling, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Livingston, NJ
National Provider Identifier
1295840379
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MB53001 Issued in NJ
Practice address
200 S Orange Ave Ste 112
Livingston, NJ 07039-5817
Phone
(973) 322-7636
Fax
(973) 322-7673
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB53001 NJ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MB53001 NJ Primary

Addresses

Primary practice location

200 S Orange Ave Ste 112
Livingston, NJ 07039-5817

Mailing address

200 S Orange Ave Ste 112
Livingston, NJ 07039-5817
Phone (973) 322-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000016 NJ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9931135910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817

8 Mountain Blvd
Warren, NJ 07059-2638

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5195

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Barnabas Health Home Care and Hospice Hospice, West Orange, NJ, CCN 311507
  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
  • Gentiva Hospice, Piscataway, NJ, CCN 311545
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB53001NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Jun 4, 2022 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Nov 1, 2012 Accepting new patients
Advantage Geriatrics Care,LLC Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Ste 112
Livingston, NJ 07039
Phone (212) 249-1500

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

200 S Orange Ave
Ste 12
Livingston, NJ 07039
Phone (973) 322-0220

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

95 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-4800

101 Old Short Hills Rd
Ste 302
West Orange, NJ 07052
Phone (973) 322-6200

101 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-6256

Interoperability endpoints

  • Direct secure messaging: tredling92718@epicdirect.rwjbh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1295840379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE STE 112",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7636",
            "fax_number": "973-322-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE STE 112",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7636",
            "fax_number": "973-322-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLING",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB53001",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MB53001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.