Individual provider Active NPI

Raymond John Reilly, MBBCH BAO

  • Obstetrics & Gynecology Physician
  • Chestnut Hill, MA
National Provider Identifier
1922050343
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28257 Issued in MA
Practice address
200 Boylston St
Suite 301 New England OB/GYN Associates
Chestnut Hill, MA 02467-2012
Phone
(617) 731-3400
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28257 MA Primary

Addresses

Primary practice location

200 Boylston St
Suite 301 New England OB/GYN Associates
Chestnut Hill, MA 02467-2012

Mailing address

200 Boylston St
Suite 301 New England OB/GYN Associates
Chestnut Hill, MA 02467-2012
Phone (617) 731-3400

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28257MAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1922050343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST",
            "address_2": "SUITE 301 NEW ENGLAND OB/GYN ASSOCIATES",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672012",
            "telephone_number": "617-731-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST",
            "address_2": "SUITE 301 NEW ENGLAND OB/GYN ASSOCIATES",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672012",
            "telephone_number": "617-731-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "RAYMOND",
        "middle_name": "JOHN",
        "credential": "MBBCH BAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "28257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.