Active NPI
David Rissmiller, D.O.
- Psychiatry Physician
- Cherry Hill, NJ
National Provider Identifier
1235102443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MB043232
- Practice address
- 2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051 - Phone
- (856) 482-9000
- Fax
- (856) 482-1159
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MB043232 | NJ | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | MB043232 | NJ |
Addresses
Primary practice location
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Mailing address
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Phone (856) 482-9000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013624 | Other | NJ | CIGNA BH |
| 0896957000 | Other | NJ | AMERIHEALTH |
| 5420011 | Other | NJ | AETNA |
| 2350009 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB043232 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1235102443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSMILLER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MB043232",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NJ",
"license": "MB043232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BH",
"identifier": "2013624",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0896957000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5420011",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2350009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.