Thomas M Reilly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

144964 Issued in NY

Practice address

8627 Forest Pkwy
Woodhaven, NY 11421-1143

Phone

(718) 805-2404

NPI assigned

Jan 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689722878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 FOREST PKWY",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211143",
            "telephone_number": "718-805-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 FOREST PKWY",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211143",
            "telephone_number": "718-805-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "144964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ramirez
• Thomas Anthony Randazzo, RPH
• Tariq Rasheed, DPM
• Ashley Rasiawan
• Chandra Wattie Rasiawan
• Jivan Ray Leonida Resano, PTA
• Angie Reyes
• Rey Pablo Reyes
• Rite Aid of New York Inc (Rite Aid Pharmacy 04610)
• Veronica Rivera, MS, LCAT, BC-DMT

• Internal Medicine Physician in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.