NPIMap

Individual provider Active NPI

Michelle Reisner, MD

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1942267158
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05092900 Issued in NJ
Practice address
196 Jewett Avenue
Jersey City, NJ 07304
Phone
(201) 332-3354
Fax
(201) 332-0180
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA50929 NJ
Internal Medicine Physician 207R00000X 25MA05092900 NJ Primary

Addresses

Primary practice location

196 Jewett Avenue
Jersey City, NJ 07304

Mailing address

196 Jewett Ave
Jersey City, NJ 07304-1804
Phone (201) 332-3354

Other identifiers 1

IdentifierTypeStateIssuer
3914500MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000927 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7012800915 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356

519 Broadway
Suite 3100
Bayonne, NJ 07002-3713
Phone (551) 214-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA50929NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince May 1, 2023 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Aug 24, 2025 Accepting new patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Michelle Reisner MD, LLC Internal Medicine Current Accepting new patients
Ennoble HC NJ II PC CurrentSince Oct 30, 2025 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 13, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 24, 2025 Accepting new patients
Ennoble HC NJ III PC CurrentSince Oct 30, 2025 Accepting new patients
Jersey City Medical Center Past Accepting new patients

Locations

519 Broadway
Ste 3100
Bayonne, NJ 07002
Phone (551) 214-3500

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

196 Jewett Ave
Jersey City, NJ 07304
Phone (201) 332-3354

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: michelle.reisner@direct.carepointhealth.org
  • Direct secure messaging: michelle.reisner@direct.rwjbh.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ennoble CareHackettstown, NJ, CCN 311585 Hospice W-2 Managing Employee Dec 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 10

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1942267158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 JEWETT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041804",
            "telephone_number": "201-332-3354",
            "fax_number": "201-332-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 JEWETT AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-332-3354",
            "fax_number": "201-332-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISNER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA50929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05092900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3914500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.