Individual provider Active NPI

Brendon G Oreilly, LSW

  • Social Worker
  • River Edge, NJ
National Provider Identifier
1669249702
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07038100 Issued in NJ
Practice address
852 Kinderkamack Rd FL 2
River Edge, NJ 07661-2324
Phone
(201) 885-3522
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL07038100 NJ Primary

Addresses

Primary practice location

852 Kinderkamack Rd FL 2
River Edge, NJ 07661-2324

Mailing address

226 Prospect Ave Apt B6
Hackensack, NJ 07601-2405
Phone (201) 878-8734

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

State licenses

LicenseStateTypeSpecialty
44SL07038100NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equality Mental Health. LLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

852 Kinderkamack Rd
#2
River Edge, NJ 07661
Phone (201) 207-1534

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1669249702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 PROSPECT AVE APT B6",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012405",
            "telephone_number": "201-878-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 KINDERKAMACK RD FL 2",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612324",
            "telephone_number": "201-885-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREILLY",
        "first_name": "BRENDON",
        "middle_name": "G",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07038100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.