Active NPIIndividual provider

Jennifer T Reilly, PA-C

Physician Assistant, Surgical in Egg Harbor Township, New Jersey

NPI Number1104242916
Practice location
2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549
Fax
—
Last updated
March 17, 2014

Jennifer Thrasher Reilly is a Physician Assistant, Surgical based in Egg Harbor Township, NJ. Jennifer Thrasher Reilly practices in Egg Harbor Township, NJ and has the professional credentials of PA-C. The NPI Number for Jennifer Thrasher Reilly is 1104242916 and holds a License No. 25MP00330200 (NJ). The current practice location address for Jennifer Thrasher Reilly is 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 and can be reached out via phone at 609-407-2332.

Provider Profile Details

NPI Number
1104242916
Provider Name
Jennifer Thrasher Reilly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549
Phone Number
609-407-2332
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
-- Jennifer Kristin Thrasher (Former Name)
Provider Enumeration Date
March 17, 2014
Last Update Date
March 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549
Zip
08234-5549
Phone Number
609-407-2332
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
110 Knights Bridge Way
Mays Landing, NJ 08330-2051
City
Mays Landing
State
NJ
Zip
08330-2051
Phone Number
850-814-8611

License Information

License Number
25MP00330200
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer T Reilly, PA-C?

The NPI number of Jennifer T Reilly, PA-C is 1104242916. It was assigned on March 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Jennifer T Reilly, PA-C?

Jennifer T Reilly, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00330200.

Where does Jennifer T Reilly, PA-C practice?

The practice location is 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549. The office can be reached at 609-407-2332 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104242916 directly on the NPPES registry website.

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