Organization
COMMUNITY HOUSECALL PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE 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
363LG0600X
Gerontology Nurse Practitioner
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100897
—
PA
01
—
CH1080
RAILROAD MEDICARE
NJ
01
—
DC6789
RAILROAD MEDICARE
NJ
01
—
G3662480
OXFORD
NJ
Enumeration date
05/20/2006
Last updated
07/21/2022
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