Individual provider Active NPI

Jonathan S Reisman, M.D.

  • Emergency Medicine Physician
  • Hazleton, PA
National Provider Identifier
1770804015
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD455755 Issued in PA
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 501-4193
Fax
(570) 501-4109
NPI assigned
Jun 22, 2010
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD455755 PA Primary
Emergency Medicine Physician 207P00000X 25MA10234500 NJ
Internal Medicine Physician 207R00000X L-244022 MA
Hospitalist Physician 208M00000X MD455755 PA

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jreisman370910@direct-ehr-ssmhc.com
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151001001085 PA Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 9537326731 Reassigns benefits to 3 organizations
I20170303000831 TX Practitioner - Family Practice 9537326731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4090

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-244022MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Cooper Urgent Care, PC CurrentSince Mar 30, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 20, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 20, 2022 Accepting new patients
Maniilaq Association CurrentSince Aug 8, 2016 Accepting new patients
Lehigh Valley Physician Group Emergency Medicine Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 14, 2017 Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Cooper Univeristy Emergency Physicians, PC Emergency Medicine CurrentSince Mar 30, 2018 Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Sep 1, 2015 Accepting new patients
Maniilaq Association CurrentSince Aug 8, 2016 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 14, 2017 Accepting new patients
Stoughton Hospital Association Past Accepting new patients

Locations

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

2001 Route 70 W
Cherry Hill, NJ 08002

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

2929 Arch St
Fl 12
Philadelphia, PA 19104

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: jreisman1404@direct.cooperhealth.edu
  • Direct secure messaging: jreisman370910@direct-ehr-ssmhc.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1770804015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4193",
            "fax_number": "570-501-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-342-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD455755",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10234500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "L-244022",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD455755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jreisman370910@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "address_1": "1 Cooper Plz",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1 Cooper Plz",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.