Active NPIIndividual provider

Dr. Jerald L Reisman, MD

Emergency Medicine in Chelsea, Massachusetts

NPI Number1922034867
Practice location
151 Everett Ave, Urgent Care, Chelsea, MA 02150-1812
Fax
617-887-3704
Last updated
May 1, 2014

Jerald Lewis Reisman is an Emergency Medicine based in Chelsea, MA. Jerald Lewis Reisman practices in Chelsea, MA and has the professional credentials of MD. The NPI Number for Jerald Lewis Reisman is 1922034867 and holds a License No. 42171 (MA). The current practice location address for Jerald Lewis Reisman is 151 Everett Ave, Urgent Care, Chelsea, MA 02150-1812 and can be reached out via phone at 617-884-8302 and via fax at 617-887-3704.

Provider Profile Details

NPI Number
1922034867
Provider Name
Jerald Lewis Reisman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
151 Everett Ave, Urgent Care, Chelsea, MA 02150-1812
Phone Number
617-884-8302
Fax Number
617-887-3704
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2006
Last Update Date
May 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Everett Ave
Urgent Care
Chelsea, MA 02150-1812
Zip
02150-1812
Phone Number
617-884-8302
Fax Number
617-887-3704
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
Po Box 9142
Charlestown, MA 02129-9142
City
Charlestown
State
MA
Zip
02129-9142
Phone Number
617-884-8302
Fax Number
617-887-3704

License Information

License Number (1)
42171
License State (1)
MA
Taxonomy (1)
Emergency Medicine · 207P00000X · Primary
License Number (2)
42171
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Jerald L Reisman, MD?

The NPI number of Dr. Jerald L Reisman, MD is 1922034867. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerald L Reisman, MD?

Dr. Jerald L Reisman, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 42171.

Where does Dr. Jerald L Reisman, MD practice?

The practice location is 151 Everett Ave, Urgent Care, Chelsea, MA 02150-1812. The office can be reached at 617-884-8302 (phone) or 617-887-3704 (fax).

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 1922034867 directly on the NPPES registry website.

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