MS. KATHLEEN M. REISEN (NPI# 1669774758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669774758 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN M. REISEN |
| Credential | MS RD |
| Practice Address |
33 Overlook Rd Summit NJ 07901-3570 |
| Mailing Address |
15 The Cres Montclair NJ 07042-2669 |
| Practice Telephone | 9085222765 |
| Mailing Telephone | 9734644573 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 655393 | Dietary & Nutritional Service Providers |
| Street Address |
33 OVERLOOK RD |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436174 | John Matthew Boozan | Ophthalmology | 33 Overlook Rd, Ste 407, Summit, NJ 07901-3564 | 2005-06-08 |
| 1427618198 | Judith Tracy | Nurse Practitioner | 33 Overlook Rd, Summit, NJ 07901-3570 | 2019-06-15 |
| 1023514833 | Tyler Cody Holsapple | Student in an Organized Health Care Education/Training Program | 33 Overlook Rd, Suite 103, Summit, NJ 07901-3561 | 2018-04-02 |
| 1497207146 | Melanie Novello Smith | Dietitian, Registered | 33 Overlook Rd, Suite L03, Summit, NJ 07901-3570 | 2016-10-28 |
| 1700336807 | Advocare, LLC | Pediatrics | 33 Overlook Rd, Suite 101, Summit, NJ 07901 | 2016-10-12 |
| 1396119152 | Rosemary Smith | Nurse Practitioner | 33 Overlook Rd, Suite L06, Summit, NJ 07901-3570 | 2015-11-17 |
| 1215323415 | Glen Berkowitz | Dentist | 33 Overlook Rd, Suite 402, Summit, NJ 07901-3570 | 2015-04-14 |
| 1942615638 | Jeannine Sopko | Registered Nurse | 33 Overlook Rd, Summit, NJ 07901-3570 | 2014-06-22 |
| 1831502806 | Karen Vanessa Macey-stewart | Hospice Care, Community Based | 33 Overlook Rd, Suite 311, Summit, NJ 07901-3570 | 2014-06-08 |
| 1467875286 | Sharon Schuley | Nurse Practitioner | 33 Overlook Rd, Suite L-03, Summit, NJ 07901-3570 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889586 | Lindsay Dolashewich | Dietitian, Registered | 545 Morris Ave # 212, Summit, NJ 07901-1325 | 2017-06-02 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1811515661 | Kira Greenwood | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-07-08 |
| 1053932509 | Gale Reed | Dietitian, Registered | 11 Overlook Rd, Summit, NJ 07901-3577 | 2020-05-06 |
| 1700397866 | Absolute Nutrition Counseling LLC | Dietitian, Registered | 545 Morris Ave # 212, Summit, NJ 07901-1325 | 2017-10-17 |
| 1497207146 | Melanie Novello Smith | Dietitian, Registered | 33 Overlook Rd, Suite L03, Summit, NJ 07901-3570 | 2016-10-28 |
| 1851751556 | Sarah Farmer Curran | Dietitian, Registered | 11 Overlook Rd, Mac II Building Suite 200, Summit, NJ 07901-3577 | 2016-02-24 |
| 1942670260 | Cynthia Hesse | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2015-09-29 |
| 1982073557 | Amanda Rae Motl | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2015-09-24 |
| 1235487075 | Lisa W Celona | Dietitian, Registered | 33 Overlook Rd, Suite L06, Summit, NJ 07901-3570 | 2012-08-28 |
| Find all providers in SUMMIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.