GEORGE DANIEL REILLY (NPI# 1518006865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518006865 |
| Entity Type | Individual |
| Full Name | GEORGE DANIEL REILLY |
| Credential | MD |
| Practice Address |
31 Q Mountain Boulevard Warren NJ 07059-5648 |
| Practice Telephone | 9087537773 |
| Practice Fax Number | 9087538883 |
| Mailing Telephone | 9087537773 |
| Mailing Fax Number | 9087538883 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA03575500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1699601 | 05 |
| Street Address |
31 Q MOUNTAIN BOULEVARD |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-5648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144483116 | Rebecca Y. Lu | Dermatology | 7 Mount Bethel Rd, Suite C, Warren, NJ 07059-2636 | 2008-07-09 |
| 1033379961 | Melissa Woods Bouffard | Dermatology | 122 Mount Bethel Rd Ste 1, Warren, NJ 07059-5127 | 2008-06-13 |
| 1619069549 | Wendy W Lambert | Dermatology | 13450 E 12 Mile Road, Warren, MI 48088-3671 | 2006-09-28 |
| 1730102666 | Warren Dermatology Associates LLC | Dermatology | 122 Mount Bethel Rd, Suite 1, Warren, NJ 07059-5127 | 2006-07-25 |
| 1790703486 | Michael P Bagley | Dermatology | 122 Mt Bethel Rd Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059 | 2006-07-18 |
| 1790714442 | Amy Beth Cardellio | Dermatology | 30950 Campbell St, Warren, MI 48093-6505 | 2006-07-02 |
| 1407836877 | Steven Kenneth Grekin | Dermatology | 13450 E 12 Mile Rd, Warren, MI 48088-3671 | 2006-01-20 |
| 1417943796 | Indira Krishnarao | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2005-09-22 |
| 1194720276 | Stuart R Gildenberg | Dermatology | 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 | 2005-06-16 |
| 1033591813 | Warren Dermatology and Mohs Surgery LLC | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2015-06-29 |
| Find all providers in WARREN | ||||
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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.