Provider Demographics
NPI:1730536780
Name:FOCUS MD RED BANK NJ
Entity type:Organization
Organization Name:FOCUS MD RED BANK NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURSTINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-332-1233
Mailing Address - Street 1:766 SHREWSBURY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3001
Mailing Address - Country:US
Mailing Address - Phone:732-939-1801
Mailing Address - Fax:
Practice Address - Street 1:766 SHREWSBURY AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3001
Practice Address - Country:US
Practice Address - Phone:732-939-1801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO5789700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty