Individual provider Active NPI

Eileen Reilly-Nilsen, RN

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1518443753
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
612075 Issued in NY
Practice address
2424 Batchelder St
Brooklyn, NY 11235-1402
Phone
(718) 743-0220
NPI assigned
Jul 11, 2018
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 612075 NY Primary

Addresses

Primary practice location

2424 Batchelder St
Brooklyn, NY 11235-1402

Mailing address

1845 E 34TH St
Brooklyn, NY 11234-4429
Phone (570) 704-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
612075NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1518443753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E 34TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344429",
            "telephone_number": "570-704-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BATCHELDER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351402",
            "telephone_number": "718-743-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY-NILSEN",
        "first_name": "EILEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "612075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.