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SHANNON MARIE REILLY
NPI 1144923327
Nurse Practitioner - Gerontology in New York, NY

Active since March 24, 2023
4 W 58TH ST, NEW YORK, NY 10019(845) 826-4073 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Marie Reilly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARIE REILLY (NPI 1144923327) is an individual gerontology provider in New York, New York, licensed in New York (F311012-01) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1144923327
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANNON MARIE REILLY
Location Address4 W 58TH STNew York, NY 10019-2515
Mailing Address88 Leonard St Apt 409New York, NY 10013-3494 · (845) 826-4073
Phone(845) 826-4073
Sole ProprietorNo
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1144923327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · F311012-01
4 W 58TH ST, New York, NY 10019
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MORAN RISDON APRN, FNP-C
Nurse Practitioner (Family)
4 W 58TH ST
NEW YORK, NY 10019
New York County (212) 249-0949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Reilly's NPI number?

The NPI number for Shannon Reilly is 1144923327. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Shannon Reilly located?

Shannon Reilly practices at 4 W 58th St, New York, NY 10019. The listed phone number is (845) 826-4073.

What is Shannon Reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Shannon Reilly was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.