Caroline Grace Reilly

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44187 Issued in NJ

Practice address

68 Wentworth Rd
Bedminster, NJ 07921-2007

Phone

(201) 403-0434

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1346841228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WENTWORTH RD",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212007",
            "telephone_number": "201-403-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WENTWORTH RD",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212007",
            "telephone_number": "201-403-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "CAROLINE",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-20-44187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Therapy Services LLC
• Priti P Patel MD
• PSKW
• Gary Joseph Racich, PA-C
• Rehab Chiropractic Network
• Donald Paul Reitberg
• Robert Wood Johnson University Hospital
• Colby Roebuck
• Jeffrey Ryzoff
• Saint Barnabas Outpatient Centers

• Behavior Analyst in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.