Active NPI
Harold Francis Reilly Jr., M.D.
- Hematology & Oncology Physician
- Staten Island, NY
National Provider Identifier
1649543604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 083654-1
- Practice address
- 5 Whitwell PL
Staten Island, NY 10304 - Phone
- (718) 816-1842
- NPI assigned
- Feb 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 083654-1 | NY | Primary |
Addresses
Primary practice location
5 Whitwell PL
Staten Island, NY 10304
Mailing address
5 Whitwell PL
Staten Island, NY 10304
Phone (718) 816-1842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083654-1 | Other | NY STATE LICENSE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083654-1 | NY | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1649543604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WHITWELL PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10304",
"telephone_number": "718-816-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WHITWELL PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10304",
"telephone_number": "718-816-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "HAROLD",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "083654-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE",
"identifier": "083654-1",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.