Individual provider Active NPI

Dennis K Reilly, D.O.

  • Anesthesiology Physician
  • Marlton, NJ
National Provider Identifier
1346293503
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB07941000 Issued in NJ
Practice address
102E Centre Blvd
Marlton, NJ 08053-4129
Phone
(856) 988-6260
Fax
(856) 988-6270
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB07941000 NJ Primary

Addresses

Primary practice location

102E Centre Blvd
Marlton, NJ 08053-4129

Mailing address

12E Centre Blvd
Marlton, NJ 08053
Phone (856) 988-6260

Other practice location 1

93 Cooper Rd Ste 100
Voorhees, NJ 08043-4910
Phone (856) 770-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050816000077 NJ Practitioner - Anesthesiology 6901835099 Reassigns benefits to 6 organizations
I20140425000316 PA Practitioner - Anesthesiology 6901835099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

93 Cooper Rd
Suite 100
Voorhees, NJ 08043-4910
Phone (856) 770-1920

9500 Roosevelt Blvd
Philadelphia, PA 19115-3926
Phone (844) 448-5872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Perioperative Services LLC Anesthesiology CurrentSince May 3, 2023 Accepting new patients
Ultracare Anesthesia Partners LLC Anesthesiology CurrentSince Dec 19, 2016 Accepting new patients
Jersey Shore Anesthesiology Associates PA Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 18, 2014 Accepting new patients
Focus Point Imaging Professionals, LLC CurrentSince Apr 15, 2024 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC Anesthesiology CurrentSince Nov 10, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 18, 2014 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Virtua Medical Group, PA Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients
Cooper Physician Offices, PA Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

406 Lippincott Dr
Ste E
Marlton, NJ 08053
Phone (856) 770-1920

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220

251 S Lincoln Ave
Vineland, NJ 08361
Phone (856) 691-8188

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800

2309 E Evesham Rd
Ste 100
Voorhees, NJ 08043
Phone (856) 325-5390

93 Cooper Rd
Ste 100
Voorhees, NJ 08043
Phone (856) 358-4520

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

2 Van Buren Rd
Voorhees, NJ 08043
Phone (856) 770-0800

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

218A Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

1079 E Park Dr
Harrisburg, PA 17111
Phone (223) 279-0290

820 Town Center Dr
Langhorne, PA 19047
Phone (215) 757-1680

2 E Laurel Ave
New Castle, PA 16101
Phone (724) 656-9127

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1346293503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12E CENTRE BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-988-6260",
            "fax_number": "856-988-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102E CENTRE BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534129",
            "telephone_number": "856-988-6260",
            "fax_number": "856-988-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Cooper Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434910",
            "country_code": "US",
            "telephone_number": "856-770-1920",
            "fax_number": "856-770-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "DENNIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB07941000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.