Individual provider Active NPI

Dori B. Reissman

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Rockville, MD
National Provider Identifier
1710801907
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
46713 Issued in GA
Practice address
28 Lily Pond Court
Rockville, MD 20852-4230
Phone
(240) 672-2148
NPI assigned
Aug 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 46713 GA Primary

Addresses

Primary practice location

28 Lily Pond Court
Rockville, MD 20852-4230

Mailing address

28 Lily Pond CT
Rockville, MD 20852-4230
Phone (240) 672-2148

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": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1710801907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LILY POND CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524230",
            "telephone_number": "240-672-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LILY POND COURT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524230",
            "telephone_number": "240-672-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISSMAN",
        "first_name": "DORI",
        "middle_name": "B.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "46713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.