Organization
MICHELLE REISNER, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE R REISNER MD (PRESIDENT)
(201) 332-3354
Entity
Organization
Contact information
Practice address
196 JEWETT AVE, JERSEY CITY, NJ 07304-1804
(201) 332-3354
(201) 536-9047
Mailing address
PO BOX 729, TENAFLY, NJ 07670-0729
(201) 332-3354
(201) 536-9047
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010050929NJ01
ANTHEM
NJ
01
—
1022776
HORIZON NJ HEALTH
NJ
01
—
1075405
HORIZON NJ HEALTH
NJ
01
—
15262
PPONEXT
NJ
01
—
1640475
AETNA TRADITIONAL PLANS
NJ
01
—
2032576001
AMERIHEALTH
NJ
01
—
23072
AMERIGROUP
NJ
01
—
264AH1
WELLCHOICE
NJ
01
—
264AH2
WELLCHOICE
NJ
01
—
380001858
RAILROAD MEDICARE
NJ
05
—
3914500
—
NJ
01
—
391536
CIGNA
NJ
01
—
45671
AETNA HMO
NJ
01
—
809742
UNITED HEALTHCARE
NJ
01
—
HP231
OXFORD
NJ
01
—
HUL000097-07
AMERICHOICE
NJ
01
—
HUL000097-08
AMERICHOICE
NJ
Enumeration date
05/23/2006
Last updated
07/21/2022
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