Juan L Riestra, MD
Healthcare Provider in Wayne, New Jersey
1841255320- Practice location
- 220 Hamburg Tpke Ste 1, Wayne, NJ 07470-2132
- Phone
- 973-389-6020
- Fax
- 973-389-6023
- Last updated
- July 31, 2026
Juan L. Riestra is a Healthcare Provider based in Wayne, NJ. Juan L. Riestra practices in Wayne, NJ and has the professional credentials of MD. The NPI Number for Juan L. Riestra is 1841255320 and holds a License No. 25MA05785800 (NJ). The current practice location address for Juan L. Riestra is 220 Hamburg Tpke Ste 1, Wayne, NJ 07470-2132 and can be reached out via phone at 973-389-6020 and via fax at 973-389-6023.
Provider Profile Details
- NPI Number
- 1841255320
- Provider Name
- Juan L. Riestra
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 220 Hamburg Tpke Ste 1, Wayne, NJ 07470-2132
- Phone Number
- 973-389-6020
- Fax Number
- 973-389-6023
- Primary Taxonomy
- Healthcare Provider · 2084P0805X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 19, 2006
- Last Update Date
- July 31, 2026
- Certification Date
- July 31, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Hamburg Tpke Ste 1
Wayne, NJ 07470-2132 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-2132
- Phone Number
- 973-389-6020
- Fax Number
- 973-389-6023
Provider Business Mailing Address Details
- Address
- 1 Rubino RD
West Caldwell, NJ 07006-8033 - City
- West Caldwell
- State
- NJ
- Zip
- 07006-8033
- Phone Number
- 973-985-1698
- Fax Number
- 973-439-5780
License Information
- License Number
- 25MA05785800
- License State
- NJ
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 Juan L Riestra, MD?
The NPI number of Juan L Riestra, MD is 1841255320. It was assigned on April 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Juan L Riestra, MD?
Juan L Riestra, MD is registered under the primary taxonomy Healthcare Provider (code 2084P0805X), licensed in NJ under license number 25MA05785800.
Where does Juan L Riestra, MD practice?
The practice location is 220 Hamburg Tpke Ste 1, Wayne, NJ 07470-2132. The office can be reached at 973-389-6020 (phone) or 973-389-6023 (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 1841255320 directly on the NPPES registry website.