Mr. Robert W Reilly, ATC
Student in an Organized Health Care Education/Training Program in East Orange, New Jersey
1487002192- Practice location
- 344 Prospect Street, East Orange, NJ 07017
- Phone
- 973-266-7300
- Fax
- —
- Last updated
- June 3, 2016
Robert William Reilly is a Student in an Organized Health Care Education/Training Program based in East Orange, NJ. Robert William Reilly practices in East Orange, NJ and has the professional credentials of ATC. The NPI Number for Robert William Reilly is 1487002192 and holds a License No. 25MT00114500 (NJ). The current practice location address for Robert William Reilly is 344 Prospect Street, East Orange, NJ 07017 and can be reached out via phone at 973-266-7300.
Provider Profile Details
- NPI Number
- 1487002192
- Provider Name
- Robert William Reilly
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 344 Prospect Street, East Orange, NJ 07017
- Phone Number
- 973-266-7300
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 3, 2016
- Last Update Date
- June 3, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 344 Prospect Street
East Orange, NJ 07017 - City
- East Orange
- State
- New Jersey
- Zip
- 07017
- Phone Number
- 973-266-7300
Provider Business Mailing Address Details
- Address
- 3865 Greenwood Dr
Bethlehem, PA 18020-9677 - City
- Bethlehem
- State
- PA
- Zip
- 18020-9677
- Phone Number
- 610-868-6559
License Information
- License Number
- 25MT00114500
- License State
- NJ
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Robert W Reilly, ATC?
The NPI number of Mr. Robert W Reilly, ATC is 1487002192. It was assigned on June 3, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Robert W Reilly, ATC?
Mr. Robert W Reilly, ATC is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NJ under license number 25MT00114500.
Where does Mr. Robert W Reilly, ATC practice?
The practice location is 344 Prospect Street, East Orange, NJ 07017. The office can be reached at 973-266-7300 (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 1487002192 directly on the NPPES registry website.