Active NPI
Jorge Alberto Reiley, MD
- Neurology Physician
- Center Moriches, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 208448
- Practice address
- 15 N Ocean Ave
Center Moriches, NY 11934-2320 - Phone
- (631) 734-7648
- Fax
- (631) 734-7287
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 208448 | NY | Primary |
Addresses
Primary practice location
15 N Ocean Ave
Center Moriches, NY 11934-2320
Mailing address
1 Oak Ridge CT
Manorville, NY 11949-3240
Phone (631) 379-4149
Other practice location 1
15 N Ocean Ave
Center Moriches, NY 11934-2320
Phone (631) 734-7648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02121002 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15 N Ocean Ave
Unit 1
Center Moriches, NY 11934-2320
Phone (631) 734-7648
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
- Peconic Bay Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.36 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East End Neurology PLLC | Neurology | Current | Accepting new patients |
Locations
15 N Ocean Ave
Ctr Moriches, NY 11934
Phone (631) 734-7648
15 N Ocean Ave
Unit 1
Ctr Moriches, NY 11934
Phone (631) 734-7648
32645 Route 25
Unit 1
Cutchogue, NY 11935
Phone (631) 734-7648
32645 Main Rd
Cutchogue, NY 11935
Phone (631) 298-7450
Interoperability endpoints
- jreiley308389@northwell.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Center Moriches, NY
- NPI 1235250614
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1053487058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OAK RIDGE CT",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493240",
"telephone_number": "631-379-4149",
"fax_number": "631-734-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N OCEAN AVE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342320",
"telephone_number": "631-734-7648",
"fax_number": "631-734-7287"
}
],
"practiceLocations": [
{
"address_1": "15 N Ocean Ave",
"address_purpose": "LOCATION",
"city": "Center Moriches",
"state": "NY",
"postal_code": "119342320",
"country_code": "US",
"telephone_number": "631-734-7648",
"fax_number": "631-734-7287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILEY",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "208448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02121002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Center Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.