Active NPIIndividual providerSole proprietor

Ms. Kathleen M Reisen, MS RD

Dietitian, Registered in Summit, New Jersey

NPI Number1669774758
Practice location
33 Overlook RD, Summit, NJ 07901-3570
Fax
—
Last updated
November 23, 2010

Kathleen M. Reisen is a Dietitian, Registered based in Summit, NJ. Kathleen M. Reisen practices in Summit, NJ and has the professional credentials of MS RD. The NPI Number for Kathleen M. Reisen is 1669774758 and holds a License No. 655393. The current practice location address for Kathleen M. Reisen is 33 Overlook RD, Summit, NJ 07901-3570 and can be reached out via phone at 908-522-2765.

Provider Profile Details

NPI Number
1669774758
Provider Name
Kathleen M. Reisen
Credential
MS RD
Provider Entity Type
Individual
Gender
Female
Address
33 Overlook RD, Summit, NJ 07901-3570
Phone Number
908-522-2765
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 23, 2010
Last Update Date
November 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Overlook RD
Summit, NJ 07901-3570
City
Summit
Zip
07901-3570
Phone Number
908-522-2765
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
15 The Cres
Montclair, NJ 07042-2669
City
Montclair
State
NJ
Zip
07042-2669
Phone Number
973-464-4573

License Information

License Number
655393
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dietitian, Registered providers near Summit, NJ

View all Dietitian, Registered providers in Summit →

Frequently Asked Questions

What is the NPI number of Ms. Kathleen M Reisen, MS RD?

The NPI number of Ms. Kathleen M Reisen, MS RD is 1669774758. It was assigned on November 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Kathleen M Reisen, MS RD?

Ms. Kathleen M Reisen, MS RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 655393.

Where does Ms. Kathleen M Reisen, MS RD practice?

The practice location is 33 Overlook RD, Summit, NJ 07901-3570. The office can be reached at 908-522-2765 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669774758 directly on the NPPES registry website.

Browse related providers