JOHN REILLY (NPI# 1881640134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881640134 |
| Entity Type | Individual |
| Full Name | JOHN REILLY |
| Credential | MD |
| Practice Address |
676 County Road 39a Southampton NY 11968-5241 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314440058 |
| Mailing Telephone | 6317028327 |
| Mailing Fax Number | 6317028314 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.14569R | LA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
198597 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD.14569R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126429 | 05 | |
| LA | 1131938 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659761476 | John Reilly IIi | Psychologist | 31 Kennedy Road Anx, Weaverville, NC 28787-9395 | 2015-02-01 |
| 1861770406 | John T Reilly | Physician Assistant | 8 Brander Parkway, Shelter Island, NY 11964-1980 | 2011-08-01 |
| 1689884322 | John F Reilly | Social Worker | 16 Spaulding Rd, Chelmsford, MA 01824-1022 | 2007-05-23 |
| 1700900891 | John Allen Reilly | Internal Medicine | 16722 Annandale Rd Ste D-1, Emmitsburg, MD 21727 | 2007-03-16 |
| 1417032954 | John Wesley Reilly | Psychologist | 12636 Se Stark, Portland, OR 97233 | 2006-10-25 |
| 1578661419 | John Reilly | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2006-09-21 |
| 1497850481 | John Francis Reilly Jr. | Internal Medicine | 53 Briar Hill Rd, Orchard Park, NY 14127-3546 | 2006-09-14 |
| 1659487080 | John Jennings Reilly | Dentist | 640 Bankview Dr, Suite #3, Frankfort, IL 60423-1383 | 2006-08-21 |
| 1932113941 | John Reilly | Physical Therapist | 121 Nantasket Ave, Suite 105, Hull, MA 02045-3106 | 2006-07-27 |
| 1124061510 | John Richard Reilly | Emergency Medicine | 4200 Wisconsin Ave Nw, #223, Washington, DC 20016-2143 | 2006-06-14 |
| Street Address |
676 COUNTY ROAD 39A |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096106 | Scott R Mcglynn | Internal Medicine | 676 County Road 39a, Southampton, NY 11968-5241 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
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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.