Elizabeth Reiley MD PA

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

MA050398 Issued in NJ

Legal business name

ELIZABETH REILEY MD PA

Practice address

699 Teaneck Rd
Teaneck, NJ 07666-4244

Phone

(201) 692-9550

NPI assigned

May 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Reiley, MD

Title

Owner

Phone

(201) 692-9550

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1023063344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-512-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-692-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH REILEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "REILEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-692-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "NJ",
            "license": "MA050398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3828603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Urology Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Pediatric Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.