Kim Marie Neenan-Reilly, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

308746 Issued in NY

Practice address

7200 Douglaston Pkwy
Main Floor
Douglaston, NY 11362-1941

Phone

(718) 461-3065

NPI assigned

Sep 14, 2020

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

Practice roles

Locations

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.

• Skender Murtezani, MD PLLC

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1578865341
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1407461676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HARMON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612708",
            "telephone_number": "516-351-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DOUGLASTON PKWY",
            "address_2": "MAIN FLOOR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621941",
            "telephone_number": "718-461-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Harmon St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115612708",
            "country_code": "US",
            "telephone_number": "516-351-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEENAN-REILLY",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "308746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Mulchinski, MSED BCBA
• Larisa Muratov, M.S.ED.
• Marianne Dina Muzic-Lucenti, LCSW, APHSW-C
• Judith Barbara Nadel, LCSW
• Near Me Physical Therapy, P.C.
• New Core Physical Therapy PC
• New York Telerad LLC
• Evelyn Raynin Ngeow, L.M.S.W.
• Ellen Nikolovienis
• Abigail Occelin, MSED

• Nurse Practitioner in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.