MICHELLE REISNER M.D. L.L.C. NPI 1053366948

NPI Information

NPI: 1053366948
Provider Name: MICHELLE REISNER, M.D., L.L.C.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
196 JEWETT AVE
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 332-3354
Get Directions

MICHELLE REISNER, M.D., L.L.C. is a geriatric medicine internal medicine in Jersey City, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MICHELLE REISNER, M.D., L.L.C. NPI is 1053366948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

196 JEWETT AVE
JERSEY CITY, NJ
ZIP 07304-804
Phone: (201) 332-3354
Fax: (201) 536-9047

The provider's authorized official is Michele R Reisner .
The authorized official title is President and has the following contact phone number (201) 332-3354.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	=========	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1640475	OTHER	NEW JERSEY	AETNA TRADITIONAL PLANS
2	23072	OTHER	NEW JERSEY	AMERIGROUP
3	809742	OTHER	NEW JERSEY	UNITED HEALTHCARE
4	15262	OTHER	NEW JERSEY	PPONEXT
5	HUL000097-08	OTHER	NEW JERSEY	AMERICHOICE
6	380001858	OTHER	NEW JERSEY	RAILROAD MEDICARE
7	010050929NJ01	OTHER	NEW JERSEY	ANTHEM
8	2032576001	OTHER	NEW JERSEY	AMERIHEALTH
9	391536	OTHER	NEW JERSEY	CIGNA
10	HUL000097-07	OTHER	NEW JERSEY	AMERICHOICE
11	1022776	OTHER	NEW JERSEY	HORIZON NJ HEALTH
12	264AH2	OTHER	NEW JERSEY	WELLCHOICE
13	HP231	OTHER	NEW JERSEY	OXFORD
14	264AH1	OTHER	NEW JERSEY	WELLCHOICE
15	1075405	OTHER	NEW JERSEY	HORIZON NJ HEALTH
16	45671	OTHER	NEW JERSEY	AETNA HMO
17	099359	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE NJ
18	3914500	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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