Organization Active NPI

Jorge H. Reisin, M.D., Facs, PA

  • Plastic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1649364308
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0013799 Issued in MD
Legal business name
JORGE H. REISIN, M.D., FACS, PA
Practice address
5530 Wisconsin Avenue,
Suite 1440
Chevy Chase, MD 20815-4302
Phone
(301) 986-9411
Fax
(301) 986-9460
NPI assigned
Oct 3, 2006
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Jorge H. Reisin, MD
Title
Physician
Phone
(301) 986-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D0013799 MD Primary

Addresses

Primary practice location

5530 Wisconsin Avenue,
Suite 1440
Chevy Chase, MD 20815-4302

Mailing address

5530 Wisconsin Ave Ste 1440
Chevy Chase, MD 20815-4302
Phone (301) 986-9411

National Provider Directory

National Provider Directory

Locations

5530 Wisconsin Ave
Ste 1440
Chevy Chase, MD 20815
Phone (301) 986-9411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1649364308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1440",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "301-986-9411",
            "fax_number": "301-986-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVENUE,",
            "address_2": "SUITE 1440",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "301-986-9411",
            "fax_number": "301-986-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE H. REISIN, M.D., FACS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "REISIN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-986-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0013799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.