MEDICARE: SCOTT B REISLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA04256500	NJ
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MA04256500	NJ
3	207RP1001X	Pulmonary Disease Physician	25MA04256500	NJ

General Provider Information

NPI Number	:	1659481133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT B REISLER MD

Provider Business Mailing Address
First Line	:	1925 HIGHWAY 27
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817
Country	:	US
Telephone Number	:	732-985-8937
Fax Number	:	732-985-8336

Provider Business Practice Location Address
First Line	:	1925 HIGHWAY 27
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817
Country	:	US
Telephone Number	:	732-985-8937
Fax Number	:	732-985-8336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/11/2025

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