MARK C REILLY (NPI# 1184701492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701492 |
| Entity Type | Individual |
| Full Name | MARK C REILLY |
| Credential | MD |
| Practice Address |
90 Bergen St Doc 1200 Newark NJ 07103-2425 |
| Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739722150 |
| Practice Fax Number | 9739722155 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
25MA06660500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7439300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699799981 | Mark W. Reilly | Radiology | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2006-07-27 |
| 1679592596 | Mark F Reilly | Physical Therapist | 403 Summit Blvd, Ste 201, Broomfield, CO 80021 | 2006-07-19 |
| Street Address |
90 BERGEN ST DOC 1200 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623074 | Karen Virginia Valdez-gonzalez | Genetic Counselor, MS | 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 | 2005-10-14 |
| 1134758816 | Elizabeth Elaine Ginalis | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2020-04-05 |
| 1003462854 | University Surgical Associates (om) | Transplant Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-16 |
| 1528614021 | Special LLC | Plastic Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265993216 | Sean Michael Munier | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-30 |
| 1629539861 | Ali Tayebi Meybodi | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-29 |
| 1497214282 | Brandon Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1649776790 | Purvee D Patel | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2018-04-05 |
| 1740716703 | Elena Solli | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 | 2017-05-11 |
| 1881120954 | Ivo Bach | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 | 2017-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922257799 | Mark Adams | Orthopaedic Surgery | 140 Bergen St # D1610, Newark, NJ 07103 | 2008-09-16 |
| 1194759589 | Michael Sirkin | Orthopaedic Surgery | 90 Bergen St, Doc 1200, Newark, NJ 07103-2425 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632872 | Yufit Orthopedics LLC | Orthopaedic Surgery | 144 S Mountain Ave, Montclair, NJ 07042-1721 | 2019-04-23 |
| 1770925083 | Sergio Hernando Pulido | Orthopaedic Surgery | 42 E Laurel Rd Ste 3900, Stratford, NJ 08084-1354 | 2013-07-28 |
| 1275842288 | John Joseph Callaghan | Orthopaedic Surgery | 504 Valley Rd Ste 200, Wayne, NJ 07470-3534 | 2010-09-26 |
| 1639274061 | David Kirschenbaum | Orthopaedic Surgery | 2186 State Route 27, Suite 1a, North Brunswick, NJ 08902-1137 | 2006-09-13 |
| 1689679722 | Frank Anthony Liporace | Orthopaedic Surgery | 377 Jersey Ave, Suite 280, Jersey City, NJ 07302-4393 | 2005-06-16 |
| 1275940306 | Orthopaedic Associates of Fair Lawn, LLC | Orthopaedic Surgery | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2014-07-21 |
| 1083975817 | Orthopaedic Trauma Institute Pa | Orthopaedic Surgery | 2315 Highway 34, Suite D, Manasquan, NJ 08736-1444 | 2012-06-07 |
| 1184981789 | Atif Khalid Ahmed | Orthopaedic Surgery | 1225 Whitehorse Mercerville Rd Ste 220, Mercerville, NJ 08619-3882 | 2012-04-19 |
| 1285942268 | Craig Wright | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2010-09-23 |
| 1801046826 | Meelan Nick Patel | Orthopaedic Surgery | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2008-09-26 |
| Find all providers with the same taxonomy | ||||
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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.