DR. CHARLES E REISEN


Address: 600 River Ave, Lakewood, NJ 08701-5237
Phone: 7323631900

DR. CHARLES E REISEN (NPI# 1922113539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922113539
Entity Type Individual
Full Name DR. CHARLES E REISEN
Credential M.D.
Practice Address 600 River Ave
Lakewood
NJ 08701-5237
Mailing Address 1000 Haddonfield Berlin Rd
Suite 210
Voorhees
NJ 08043-3520
Practice Telephone 7323631900
Mailing Telephone 8567822212
Enumeration Date 2006-08-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
25MA05286100 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 5233101 05

Office Location

Street Address 600 RIVER AVE
City LAKEWOOD
State NJ
Zip Code 08701-5237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659376317 Acutecare Health System LLC General Acute Care Hospital 600 River Ave, 4 West, Lakewood, NJ 08701-5237 2005-06-17
1740819168 Courtney Marie Keville Physician Assistant 600 River Ave, Lakewood, NJ 08701-5237 2020-04-07
1689143208 Nicole M Kissam Social Worker 600 River Ave, Lakewood, NJ 08701-5237 2018-11-14
1063944643 Kate Bianchini Registered Nurse 600 River Ave, Lakewood, NJ 08701-5237 2017-04-01
1770027138 Michael Olukotun Nurse Practitioner 600 River Ave, Lakewood, NJ 08701-5237 2016-12-05
1154870202 Jaclyn Beck Physician Assistant 600 River Ave, Lakewood, NJ 08701-5237 2016-09-30
1245682491 Garima Kalra Internal Medicine 600 River Ave, Lakewood, NJ 08701 2016-07-11
1588018840 Lakewood Hospitalists Psychiatry & Neurology 600 River Ave, Lakewood, NJ 08701-5237 2016-04-22
1568821981 Allyson Walsh Nurse Practitioner 600 River Ave, Lakewood, NJ 08701-5237 2016-02-12
1588047781 Hilary Fuirita Physician Assistant 600 River Ave, Lakewood, NJ 08701-5237 2015-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639787393 Sky Care Aba LLC Social Worker 41 Carasaljo Drive, Lakewood, NJ 08701 2020-07-20
1487276325 Teresa Rose Alvarez Counselor 1215 Nj-70 W, Lakewood, NJ 08701 2020-05-14
1417588468 Miriam Pelberg Behavioral Analyst 519 Second St., Lakewood, NJ 08701 2020-01-29
1639700529 Rivky Parnes Occupational Therapy Assistant 110 Hillside Bullivard, Lakewood, NJ 08701 2020-01-29
1659910172 Esther Gold Behavioral Analyst 611 Stirling Ave A, Lakewood Township, NJ 08701 2020-01-01
1649816323 Julie Mcculley Orthotist 1353 River Ave Suite #4, Lakewood, NJ 08701 2019-11-18
1356990782 Lucy Dimeglio Technician 17 Amberlands Court, Lakewood, NJ 08701 2019-09-09
1992262299 Miriam Lichtschein Speech-Language Pathologist 1439 South Street, Lakewood, NJ 08701 2019-02-23
1407326531 Achievements Early Intervention Services Community/Behavioral Health 85a Gladiola Ct, Lakewood, NJ 08701 2018-12-02
1871062224 Ms Optical LLC Eyewear Supplier (Equipment, not the service) 12 America Ave, 1a, Lakewood, NJ 08701 2018-11-15
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538273727 Minerva R Castillo Pediatrics 600 River Ave, Lakewood, NJ 08701-5237 2006-08-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710404454 Onsite Neonatal PC Pediatrics 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 2017-08-24
1790126183 Marwa A Khalil Pediatrics 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 2013-07-13
1427398536 Aelia Inc Pediatrics 405 Gregory Rd, Paramus, NJ 07652-2117 2013-02-26
1376782060 Midatlantic Neonatology Associates Pediatrics 140 E Hanover Ave, Brinj Bldg, Cedar Knolls, NJ 07927-2011 2009-02-19
1952571515 John Freddy Ladino Pediatrics 100 Madison Ave # 85, Morristown, NJ 07960-6136 2008-03-10
1205040425 Fawaz Kashlan Pediatrics 5 Springhouse Rd, Ocean, NJ 07712-3727 2007-05-09
1134243389 Robert L Simon Pediatrics 34 Cedar Ln, Bridgeton, NJ 08302-7152 2007-03-16
1902938988 Chung J Peng Pediatrics 1 Blackberry Ln, North Caldwell, NJ 07006-4170 2007-03-12
1285701094 Mary Beth Browne Pediatrics 1571 Horseshoe Dr, Manasquan, NJ 08736-2700 2006-11-29
1922182310 Judy G Saslow Pediatrics One Cooper Plaza 7th Floor Dorrance, Camden, NJ 08103 2006-10-24
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Competitor

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City LAKEWOOD
Zip Code 08701

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Dataset Information

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.

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