DR. MICHAEL RIESA (NPI# 1932462397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932462397 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RIESA |
| Credential | D.O. |
| Practice Address |
2301 S Broad St Rm 112 Philadelphia PA 19148-3542 |
| Mailing Address |
151 Fries Mill Rd Ste 301 Turnersville NJ 08012-2016 |
| Practice Telephone | 2155102176 |
| Mailing Telephone | 5651341248 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | OS020721 | PA | Hospitals |
| N | 282N00000X | General Acute Care Hospital | 25MB09676000 | NJ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0467618 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 435 Hurffville Cross Keys Rd, Turnersville, NJ 080122453 | 8562185634 | 8562185664 |
| Street Address |
2301 S BROAD ST RM 112 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639628043 | Tri-county Hospitalists | General Acute Care Hospital | 560 N 16th St, Apt 1, Philadelphia, PA 19130-4105 | 2016-09-26 |
| 1649650359 | Hahnemann University Hospital | General Acute Care Hospital | 245 N 15th St # Ms 420, Philadelphia, PA 19102-1101 | 2015-06-08 |
| 1699160432 | Beth Israel Deaconess Medical Center, Inc. | General Acute Care Hospital | 908 Pine St. Apt 2f, Philadelphia, PA 19107 | 2015-03-30 |
| 1285979179 | Minute Clinic | General Acute Care Hospital | 487 Shurs Ln, Philadelphia, PA 19128-3505 | 2012-12-03 |
| 1437407152 | Temple University Health System | General Acute Care Hospital | 3401 N. Broad St, Department of Radiology, Philadelphia, PA 19140 | 2012-08-28 |
| 1376806398 | Patrick O'toole | General Acute Care Hospital | 1015 Walnut Street, Room 801 Curtis Building, Philadelphia, PA 19107 | 2012-06-25 |
| 1659657872 | Hahnemann University Hospital | General Acute Care Hospital | 245 N. 15th Street, Ms #435, Department of Pathology, Philadelphia, PA 19102 | 2011-11-02 |
| 1003104530 | Hospital of The University of Pennsylvania | General Acute Care Hospital | 2121 Market St Apt 220, Philadelphia, PA 19103-1309 | 2011-07-19 |
| 1588950703 | Linda Smith | General Acute Care Hospital | 2934 Gilham St, Philadelphia, PA 19149-3018 | 2011-06-27 |
| 1649569286 | St Lukes Hospital | General Acute Care Hospital | 763 N Ringgold St, Apt A, Philadelphia, PA 19130-2509 | 2011-04-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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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.