Active NPI
Michelle Reisner MD, LLC
- Internal Medicine Physician
- Jersey City, NJ
National Provider Identifier
1578740692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MICHELLE REISNER MD, LLC
- Practice address
- 196 Jewett Ave
Jersey City, NJ 07304-1804 - Phone
- (201) 332-3354
- NPI assigned
- Jan 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yogini Chaudhary
- Title
- Biller
- Phone
- (732) 321-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
196 Jewett Ave
Jersey City, NJ 07304-1804
Mailing address
PO Box 729
Tenafly, NJ 07670-0729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3914500 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1942267158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1578740692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076700729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 JEWETT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041804",
"telephone_number": "201-332-3354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE REISNER MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "CHAUDHARY",
"authorized_official_first_name": "YOGINI",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "732-321-1100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3914500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.