Provider Demographics
NPI:1396771416
Name:JEFFREY H. AROESTY, M.D., P.C.
Entity type:Organization
Organization Name:JEFFREY H. AROESTY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:AROESTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-770-7101
Mailing Address - Street 1:400 VALLEY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MOUNT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-2316
Mailing Address - Country:US
Mailing Address - Phone:973-770-7101
Mailing Address - Fax:973-770-7108
Practice Address - Street 1:400 VALLEY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MOUNT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-2316
Practice Address - Country:US
Practice Address - Phone:973-770-7101
Practice Address - Fax:973-770-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA060415174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS71249Medicare UPIN
NJF78527Medicare UPIN