Barbara Reilly, NURSE PRACTITIONER

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

420168 Issued in NY

Practice address

415 Crystal Ave
Staten Island, NY 10314-2063

Phone

(631) 275-3212

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1154738169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CRYSTAL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142063",
            "telephone_number": "631-275-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CRYSTAL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142063",
            "telephone_number": "631-275-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "420168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Reich, PH.D.
• China Lily Mae Reichert, RDN
• Abigail Reid, CASACT
• Jennifer Johanna Reidinger
• Samantha Reiff
• Debra Reilly
• Harold Francis Reilly Jr., M.D.
• James Gerard Reilly, D.O.
• John Patrick Reilly, MD
• Melissa T Reilly

• Women's Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.