Red Bank Rejuvenation
Specialist in Tinton Falls, New Jersey
1225474521- Practice location
- 628 Shrewsbury Ave, Suite C, Tinton Falls, NJ 07701-4932
- Phone
- 732-383-8747
- Fax
- 732-268-7291
- Last updated
- May 14, 2013
Red Bank Rejuvenation is a healthcare organization based in Tinton Falls, NJ. Red Bank Rejuvenation practices in Tinton Falls, NJ. The NPI Number for Red Bank Rejuvenation is 1225474521 and holds a License No. 25MA04251200 (NJ). The current practice location address for Red Bank Rejuvenation is 628 Shrewsbury Ave, Suite C, Tinton Falls, NJ 07701-4932 and can be reached out via phone at 732-383-8747 and via fax at 732-268-7291.
Provider Profile Details
- NPI Number
- 1225474521
- Provider Name
- Red Bank Rejuvenation
- Provider Entity Type
- Organization
- Address
- 628 Shrewsbury Ave, Suite C, Tinton Falls, NJ 07701-4932
- Phone Number
- 732-383-8747
- Fax Number
- 732-268-7291
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Eugene Desimone, MD · Medical Director · 732-383-8747
- Provider Enumeration Date
- May 14, 2013
- Last Update Date
- May 14, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 628 Shrewsbury Ave
Suite C
Tinton Falls, NJ 07701-4932 - City
- Tinton Falls
- State
- New Jersey
- Zip
- 07701-4932
- Phone Number
- 732-383-8747
- Fax Number
- 732-268-7291
Provider Business Mailing Address Details
- Address
- 628 Shrewsbury Ave
Suite C
Tinton Falls, NJ 07701-4932 - City
- Tinton Falls
- State
- NJ
- Zip
- 07701-4932
- Phone Number
- 732-383-8747
- Fax Number
- 732-268-7291
License Information
- License Number
- 25MA04251200
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Red Bank Rejuvenation?
The NPI number of Red Bank Rejuvenation is 1225474521. It was assigned on May 14, 2013 and is currently active in the NPPES registry.
What is the specialty of Red Bank Rejuvenation?
Red Bank Rejuvenation is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA04251200.
Where does Red Bank Rejuvenation practice?
The practice location is 628 Shrewsbury Ave, Suite C, Tinton Falls, NJ 07701-4932. The office can be reached at 732-383-8747 (phone) or 732-268-7291 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225474521 directly on the NPPES registry website.