Active NPI
Lonny Reisman, M.D.
- Cardiovascular Disease Physician
- Hartford, CT
National Provider Identifier
1063769107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 148421
- Practice address
- 151 Farmington Ave
Hartford, CT 06156-0001 - Phone
- (860) 273-8085
- Fax
- (860) 273-6280
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 148421 | NY | Primary |
Addresses
Primary practice location
151 Farmington Ave
Hartford, CT 06156-0001
Mailing address
151 Farmington Ave
Hartford, CT 06156-0001
Phone (860) 273-8085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148421 | NY | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1063769107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061560001",
"telephone_number": "860-273-8085",
"fax_number": "860-273-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 FARMINGTON AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061560001",
"telephone_number": "860-273-8085",
"fax_number": "860-273-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISMAN",
"first_name": "LONNY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "148421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.