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NPI Code Detail

MEDICARE: COMMUNITY HOUSECALL PHYSICIANS

MEDICARE: COMMUNITY HOUSECALL PHYSICIANS
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
1363LG0600XGerontology Nurse PractitionerNJ
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianNJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CH1080OTHERNJRAILROAD MEDICARE
2DC6789OTHERNJRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4G3662480OTHERNJOXFORD

General Provider Information

NPI Number : 1780638940
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HOUSECALL PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 729
Second Line :
City : TENAFLY
State : NJ
Zip : 07670-0729
Country : US
Telephone Number : 201-332-3354
Fax Number : 201-536-9047
Provider Business Practice Location Address
First Line : 196 JEWETT AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-1804
Country : US
Telephone Number : 201-332-3354
Fax Number : 201-536-9047
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHELLE R REISNER
Credential : MD
Telephone Number : 201-332-3354
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/21/2022

Similar Medicare Providers

1073563284 — SHERRI BOSESKI A.P.N.-C
Practice Location Address:
196 JEWETT AVE
JERSEY CITY, NJ
07304-1804
Practice Phone: 201-536-9000
Practice Fax: 201-536-9047
1134170673 — NANCY REYES A.P.N.-C
Practice Location Address:
196 JEWETT AVE
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1053366948 — MICHELLE REISNER, M.D., L.L.C.
Practice Location Address:
196 JEWETT AVE
JERSEY CITY, NJ
07304-1804
Practice Phone: 201-332-3354
Practice Fax: 201-536-9047
1538115084 — MARY JO P VETTER RN , APRN, CS
Practice Location Address:
196 JEWETT AVE
JERSEY CITY, NJ
07304-1804
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Practice Fax: 201-536-9047
1548200132 — EILEEN LEEK MSN, APRN, BC
Practice Location Address:
196 JEWETT AVENUE
JERSEY CITY, NJ
07304-1804
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Practice Fax: 201-536-9047
1316027642 — MR. NELSON P. GRAMATICA APN-C
Practice Location Address:
196 JEWETT AVE
JERSEY CITY, NJ
07304-1804
Practice Phone: 201-833-3000
Practice Fax:

Directions to “COMMUNITY HOUSECALL PHYSICIANS ” Practice Location

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