James Reilly


Address: 668 Castleton Ave, Staten Island, NY 10301-2044

James Reilly (NPI# 1104836204, PAC ID# 4183807076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1104836204
PAC ID by PECOS 4183807076
Professional Enrollment ID I20110331000013
Full Name James Reilly
Address 668 Castleton Ave
Staten Island
NY 10301-2044
Gender M
Medical School NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 1991
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330028 RICHMOND UNIVERSITY MEDICAL CENTER
330160 STATEN ISLAND UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
668 Castleton Ave, Staten Island, NY 10301-2044

Organization Information

Office Location

Street Address 668 CASTLETON AVE
City STATEN ISLAND
State NY
Zip 10301-2044

Physicians in the same zip code

Name Specialty Organization Address
Patricia Ann Thompson Clinical Social Worker 120 Stuyvesant Pl, Suite 4, Staten Island, NY 10301-1992
Joann Leather Clinical Social Worker Staten Island Mental Health Society, Inc. 669 Castleton Ave, Staten Island, NY 10301-2028
Ulrika Holm Obstetrics/gynecology 539 Castleton Ave, Staten Island, NY 10301-2060
George Antoun Physical Therapy 110 Henderson Ave, Suite 720, Staten Island, NY 10301-2108
Susana Lourido Psychiatry Amboy Medical Practice PC 110 Henderson Ave, Staten Island, NY 10301-2108
Shevi Koschitzki Physician Assistant Synergy Health Medical Solutions PC 110 Henderson Ave, Staten Island, NY 10301-2108
Lucas S Ralston Psychiatry Amboy Medical Practice PC 110 Henderson Ave, Staten Island, NY 10301-2108
Salim Hussain Psychiatry Amboy Medical Practice PC 110 Henderson Ave, Staten Island, NY 10301-2108
Yasmin Nunez Physician Assistant Synergy Health Medical Solutions PC 110 Henderson Ave, Staten Island, NY 10301-2108
Emmanuel Ahipue Nurse Practitioner Project Hospitality Inc 14 Slosson Ter, Staten Island, NY 10301-2507
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Competitor

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City STATEN ISLAND
Zip Code 10301
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty STATEN ISLAND + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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