DR. COLIN RUSSELL O'REILLY


Address: 200 Somerset St, New Brunswick, NJ 08901-1942
Phone: 7322587000

DR. COLIN RUSSELL O'REILLY (NPI# 1356671887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356671887
Entity Type Individual
Full Name DR. COLIN RUSSELL O'REILLY
Credential D.O.
Practice Address 200 Somerset St
New Brunswick
NJ 08901-1942
Practice Telephone 7322587000
Mailing Telephone 7322587000
Mailing Fax Number 9083895675
Enumeration Date 2010-01-06
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
25MB08636600 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0232050 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Madison Ave, Morristown, NJ 079606136 9739717550 9732907364

Office Location

Street Address 200 SOMERSET ST
City NEW BRUNSWICK
State NJ
Zip Code 08901-1942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699397133 Alison Ricchiuti Recreation Therapist 200 Somerset St, New Brunswick, NJ 08901-1942 2020-05-07
1487273686 Melissa Lezark I Nurse Practitioner 200 Somerset St, New Brunswick, NJ 08901-1942 2020-04-09
1003444522 Lauren Horton Nurse Practitioner 200 Somerset St, New Brunswick, NJ 08901-1942 2020-03-30
1093342206 Soraya Simon Student in an Organized Health Care Education/Training Program 200 Somerset St, New Brunswick, NJ 08901-1942 2020-03-26
1255891974 Daniel Helfgott Student in an Organized Health Care Education/Training Program 200 Somerset St, New Brunswick, NJ 08901-1942 2019-03-20
1720557358 Anne Elizabeth Lyle Nurse Practitioner 200 Somerset St, New Brunswick, NJ 08901-1942 2018-11-13
1336626753 Jaya Isaac Pediatrics 200 Somerset St, New Brunswick, NJ 08901-1942 2018-07-27
1639675390 Akreeti Maskey Student in an Organized Health Care Education/Training Program 200 Somerset St, New Brunswick, NJ 08901-1942 2018-04-02
1790293819 Kathryn Hottinger Psychologist 200 Somerset St, New Brunswick, NJ 08901-1942 2018-01-11
1952833543 Tara Elizabeth Chaney Nurse Practitioner 200 Somerset St, New Brunswick, NJ 08901-1942 2017-04-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083242622 Daniel Kareem Haddad Student in an Organized Health Care Education/Training Program 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 2020-03-30
1922636588 Neil Anjan Basumallik Student in an Organized Health Care Education/Training Program Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 2020-03-30
1922636406 Naveena Lall Student in an Organized Health Care Education/Training Program Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 2020-03-30
1801444047 Swati Vijay Dhobale Student in an Organized Health Care Education/Training Program Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 2019-08-30
1962974329 Lauren Burgstresser Nurse Practitioner 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 2018-12-26
1851874291 Damon House Inc. Substance Abuse Rehabilitation Facility 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 2018-09-12
1245718204 Leah Dinardo Psychologist 61 Nichol Ave, New Brunswick, NJ 08901 2018-08-01
1730667130 Keshav Bhandari Student in an Organized Health Care Education/Training Program Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 2018-07-30
1942787486 Mehak Bassi Student in an Organized Health Care Education/Training Program 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 2018-07-27
1063908754 Oluwatoba Opeyemi Moninuola Student in an Organized Health Care Education/Training Program 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 2018-07-05
Find all providers in zip 08901

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083876106 Hariprem Rajasekhar Pediatrics 1 Robert Wood Johnson Pl, Meb 3rd Floor, New Brunswick, NJ 08901-1928 2008-06-30
1093973695 Christina Clare Lopez Pediatrics 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 2008-05-30
1154538759 Carla Primiani Cangemi Pediatrics 200 Somerset St, New Brunswick, NJ 08901-1942 2007-05-16
1790819951 Tiong Gwan The Pediatrics 254 Easton Ave, St Peter's University Hospital, New Brunswick, NJ 08901 2007-03-16
1043371966 Jacqueline Angela Williams-phillips Pediatrics 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 2006-12-13
1013077890 Daniel Notterman Pediatrics 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 2006-12-11
1144389602 Michael Kelly Pediatrics 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 2006-12-08
1013076975 Lisanne Hauck Pediatrics 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 2006-12-07
1538228705 Vicki Craig Pediatrics 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 2006-12-06
1679631337 Thomas Bojko Pediatrics 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 2006-12-05
Find all providers in NEW BRUNSWICK

Competitor

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City NEW BRUNSWICK
Zip Code 08901

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Dataset Information

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.

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