Theresa Reilly, APN-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ14954900 Issued in NJ

Practice address

56 Georgetown Rd
Bordentown, NJ 08505-2405

Phone

(609) 227-2525

NPI assigned

Oct 31, 2024

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Hospice Care, LLCGroup PAC ID 5092988089, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Serenity Hospice Care, LLC

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Bordentown, NJ
  • NPI 1902621097
  Medicare reassignment Care Compare group NPD
• Serenity Palliative Care Services

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Bordentown, NJ
  • NPI 1609428440
  Medicare reassignment NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1629890488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GEORGETOWN RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052405",
            "telephone_number": "609-227-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 GEORGETOWN RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052405",
            "telephone_number": "609-227-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14954900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Boncheck VMD PA
• Reconstructive Orthopedics, P.a.
• Natalie Redziniak, M.D.
• Rehabclinics (SPT), Inc.
• Anna Meredith Rehwinkel-Morfe, PSY.D.
• Riverbend Therapy Services LLC
• Michael H. Rizkalla, MD
• Robbinsville and Bordentown Pediatrics
• Lucy Rosenberg
• Nicholas Alex Rossos, M.D.

• Gerontology Nurse Practitioner in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.