Jessie Ellen Reisig, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

060280 Issued in NY

Practice address

65 E 79TH St
New York, NY 10075-0216

Phone

(212) 772-7668

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1154778710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750216",
            "telephone_number": "212-772-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750216",
            "telephone_number": "212-772-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISIG",
        "first_name": "JESSIE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "060280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan A Reisch
• Abbey Reiser
• Allison E Reiser, NP
• Timothy Reish, M.D.
• Christopher Reisig, M.D.
• Adele Reising, L.AC.
• Adam Reisman
• Jennie Anne Reisman
• Mark Reisman, M.D.
• Steven Reisman

• Endodontics in New York, NY
• Providers in New York, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.