Elizabeth Reiley, MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

MA050398 Issued in NJ

Practice address

699 Teaneck Rd
Teaneck, NJ 07666-4244

Phone

(201) 692-9550

Fax

(201) 692-1363

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1861453300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-692-9550",
            "fax_number": "201-692-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-692-9550",
            "fax_number": "201-692-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILEY",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NJ",
            "license": "MA050398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3828603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Reich, SLP
• Vicki Reichardt, M.A., CCC-SLP
• Desha Reid, REGISTERED NURSE
• Esther Reidler, PHD
• Toby Reifman, LCSW
• Marianne W. Reilly, RN, MSN, CPNP
• Shoshana Leah Reinhart
• Rejuvenation Medicine LLC
• Related Surgical Specialties, PC
• Florence Remes, L.C.S.W.

• Pediatric Urology Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Pediatric Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.