Individual provider Active NPI

Susan Reisman

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1861153272
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310518 Issued in NY
Practice address
901 Walnut St FL 3
Philadelphia, PA 19107-5224
Phone
(215) 955-7000
Fax
(215) 503-9357
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310518 NY Primary

Addresses

Primary practice location

901 Walnut St FL 3
Philadelphia, PA 19107-5224

Mailing address

901 Walnut St FL 3
Philadelphia, PA 19107-5224
Phone (215) 955-7000

Other practice location 1

525 East 68th Street,
N-046
New York, NY 10065
Phone (216) 469-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220412001802 NY Practitioner - Nurse Practitioner 8123414513 Reassigns benefits to 1 organization
I20240805004248 PA Practitioner - Nurse Practitioner 8123414513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310518NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Mar 27, 2022 Accepting new patients
Jefferson University Physicians CurrentSince Aug 1, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 27, 2022 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#N46
New York, NY 10065
Phone (212) 523-7170

1101 Chestnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 587-3000

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1101 Chestnut St
Fl 19
Philadelphia, PA 19107

1101 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 4

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

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1861153272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WALNUT ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075224",
            "telephone_number": "215-955-7000",
            "fax_number": "215-503-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WALNUT ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075224",
            "telephone_number": "215-955-7000",
            "fax_number": "215-503-9357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 East 68th Street,",
            "address_2": "N-046",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "216-469-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.