Active NPIIndividual provider

Dr. Michael H Reilly, MD

Pathology, Anatomic Pathology & Clinical Pathology in Ridgewood, New Jersey

NPI Number1609940246
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
201-447-8657
Last updated
September 21, 2012

Michael H Reilly is a Pathology, Anatomic Pathology & Clinical Pathology based in Ridgewood, NJ. Michael H Reilly practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Michael H Reilly is 1609940246 and holds a License No. 25MA03562000 (NJ). The current practice location address for Michael H Reilly is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-447-8242 and via fax at 201-447-8657.

Provider Profile Details

NPI Number
1609940246
Provider Name
Michael H Reilly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-447-8242
Fax Number
201-447-8657
Sole Proprietor
No
Provider Enumeration Date
November 17, 2006
Last Update Date
September 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-447-8242
Fax Number
201-447-8657
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
City
Ridgewood
State
NJ
Zip
07450-2726
Phone Number
201-447-8242
Fax Number
201-447-8657

License Information

License Number (1)
25MA03562000
License State (1)
NJ
Taxonomy (1)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
License Number (2)
123239-1
License State (2)
NY

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 Dr. Michael H Reilly, MD?

The NPI number of Dr. Michael H Reilly, MD is 1609940246. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael H Reilly, MD?

Dr. Michael H Reilly, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA03562000.

Where does Dr. Michael H Reilly, MD practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-447-8242 (phone) or 201-447-8657 (fax).

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 1609940246 directly on the NPPES registry website.

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