Theresa A Reilly, AGACNP-BC
Nurse Practitioner, Gerontology in Brick, New Jersey
1902316565- Practice location
- 39 Toronto Dr, Brick, NJ 08723-7531
- Phone
- 732-236-8361
- Fax
- —
- Last updated
- July 9, 2026
Theresa Ann Reilly is a Nurse Practitioner, Gerontology based in Brick, NJ. Theresa Ann Reilly practices in Brick, NJ and has the professional credentials of AGACNP-BC. The NPI Number for Theresa Ann Reilly is 1902316565 and holds a License No. 431187 (NY). The current practice location address for Theresa Ann Reilly is 39 Toronto Dr, Brick, NJ 08723-7531 and can be reached out via phone at 732-236-8361.
Provider Profile Details
- NPI Number
- 1902316565
- Provider Name
- Theresa Ann Reilly
- Credential
- AGACNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 39 Toronto Dr, Brick, NJ 08723-7531
- Phone Number
- 732-236-8361
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 9, 2017
- Last Update Date
- July 9, 2026
- Certification Date
- July 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 Toronto Dr
Brick, NJ 08723-7531 - City
- Brick
- State
- New Jersey
- Zip
- 08723-7531
- Phone Number
- 732-236-8361
Provider Business Mailing Address Details
- Address
- 1945 Route 33
Neptune, NJ 07753 - City
- Neptune
- State
- NJ
- Zip
- 07753
- Phone Number
- 732-776-4292
- Fax Number
- 732-776-4213
License Information
- License Number (1)
- 431187
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (2)
- 26NJ00900500
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Brick, NJ
View all Nurse Practitioner, Gerontology providers in Brick →Frequently Asked Questions
What is the NPI number of Theresa A Reilly, AGACNP-BC?
The NPI number of Theresa A Reilly, AGACNP-BC is 1902316565. It was assigned on October 9, 2017 and is currently active in the NPPES registry.
What is the specialty of Theresa A Reilly, AGACNP-BC?
Theresa A Reilly, AGACNP-BC is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NY under license number 431187.
Where does Theresa A Reilly, AGACNP-BC practice?
The practice location is 39 Toronto Dr, Brick, NJ 08723-7531. The office can be reached at 732-236-8361 (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 1902316565 directly on the NPPES registry website.