JENGI M. REILLY (NPI# 1235567736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235567736 |
| Entity Type | Individual |
| Full Name | JENGI M. REILLY |
| Credential | FNP |
| Practice Address |
169 Riverside Dr Lourdes Breast Care Center Binghamton NY 13905-4246 |
| Practice Telephone | 6077985111 |
| Practice Fax Number | 6077986111 |
| Mailing Telephone | 6077985111 |
| Mailing Fax Number | 6077986111 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338255-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
169 RIVERSIDE DR LOURDES BREAST CARE CENTER |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253446 | Advanced Radiology Services, Pllc | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-25 |
| 1639777451 | Ceirra Robin Tennant | Nurse Practitioner | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-10-14 |
| 1427674555 | Emily Elizabeth Krol | Physician Assistant | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-24 |
| 1184240889 | Debra Iwanow | Specialist/Technologist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-18 |
| 1124642921 | Daniel Fitzpatrick | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-08 |
| 1255955100 | Robin Underwood | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-06-05 |
| 1447872817 | Kelly Ann Yale-suda | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-05-08 |
| 1548880917 | Mahdi Shafiq | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-25 |
| 1669092672 | Thien-duy Brandon Tran | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-20 |
| 1164042313 | Benjamin Levi Kaplan | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307674 | Muhammed Shubir Wesley | Nurse Practitioner | 88 Mary St, Binghamton, NY 13903-1755 | 2020-08-21 |
| 1558913442 | Bridget Oppong-darko | Nurse Practitioner | 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 | 2019-07-11 |
| 1346787363 | Jane Locke | Nurse Practitioner | 10 Hillcrest Ave, Binghamton, NY 13901-1704 | 2017-01-28 |
| 1538541925 | Marianne Valenzuela | Nurse Practitioner | 27 Park Avenue, 5th Floor, Binghamton, NY 13903 | 2015-06-23 |
| 1134523863 | Bonnie Kassis | Nurse Practitioner | 27 Park Avenue, 5th Floor, Binghamton, NY 13903-1605 | 2014-10-09 |
| 1609122118 | Tracy Ann Miller | Nurse Practitioner | 161 Riverside Dr Ste 109, Binghamton, NY 13905-4178 | 2012-08-02 |
| 1598046930 | Carlie Christine Long | Nurse Practitioner | 161 Riverside Dr Ste 306, Binghamton, NY 13905-4197 | 2011-08-30 |
| 1811063084 | Bonnie Jean Cornwell | Nurse Practitioner | 4400 Vestal Prkwy East, Binghamton, NY 13902-6000 | 2006-11-28 |
| 1417020207 | Eleanore Smith Kellicutt | Nurse Practitioner | Binghamton University, Health Service, Vestal Pkwy East, Binghamton, NY 13902-6000 | 2006-11-17 |
| 1104903459 | Jacque C. Millar | Nurse Practitioner | 840 Upper Front St, Occupational Health Clinical Center, Binghamton, NY 13905-1566 | 2006-11-01 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.