Reisner, Michelle

Reisner, Michelle is an sole proprietor health care provider with primary practice located at 196 Jewett Avenue , Jersey City NJ 07304. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Reisner, Michelle can be contacted via phone (201) 332-3354.

Contact Information

Primary practice address
196 Jewett Avenue Jersey City NJ 07304
Fax: (201) 332-0180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MA50929 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05092900 New Jersey

Profile Details

NPI number 1942267158
LBN Legal business name Reisner, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Jun 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942267158 NPPES
New Jersey MEDICAID 3914500

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