Active NPI
Jessa Reissman, STUDENT
- Student in an Organized Health Care Education/Training Program
- Hawthorne, NY
National Provider Identifier
1619344926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 500 Linda Avenue
Hawthorne, NY 10532 - Phone
- (914) 973-7500
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
500 Linda Avenue
Hawthorne, NY 10532
Mailing address
100 La Salle Street
11E
New York, NY 10027
Phone (646) 265-7749
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1619344926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LA SALLE STREET",
"address_2": "11E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "646-265-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LINDA AVENUE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "10532",
"telephone_number": "914-973-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISSMAN",
"first_name": "JESSA",
"credential": "STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.