| Community Housecall Physicians | |
|
196 Jewett Ave Jersey City NJ 07304-1804 | |
| (201) 332-3354 | |
| (201) 536-9047 |
| Full Name | Community Housecall Physicians |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 196 Jewett Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Michelle R Reisner (PRESIDENT) |
| Authorized Official Contact | 2013323354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Housecall Physicians Po Box 729 Tenafly NJ 07670-0729 Ph: (201) 332-3354 | Community Housecall Physicians 196 Jewett Ave Jersey City NJ 07304-1804 Ph: (201) 332-3354 |
| NPI Number | 1780638940 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780638940 | NPI | - | NPPES |
| CH1080 | Other | NJ | RAILROAD MEDICARE |
| DC6789 | Other | NJ | RAILROAD MEDICARE |
| 0100897 | Medicaid | PA | |
| G3662480 | Other | NJ | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (New Jersey) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | (New Jersey) | Secondary |
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Michelle Reisner, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Jewett Ave, Jersey City, NJ 07304 Phone: 201-332-3354 Fax: 201-536-9047 |