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KIM MARIE NEENAN-REILLY APRN
NPI 1407461676
Nurse Practitioner in Douglaston, NY

Active since September 14, 2020
7200 DOUGLASTON PKWY, MAIN FLOOR, DOUGLASTON, NY 11362(718) 461-3065 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Marie Neenan-reilly Aprn NPPES

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

KIM MARIE NEENAN-REILLY APRN (NPI 1407461676) is an individual nurse practitioner in Douglaston, New York, licensed in New York (308746) and active in the NPI registry since September 2020. She maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1407461676
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIM MARIE NEENAN-REILLYCredential: APRN
Location Address7200 DOUGLASTON PKWY, MAIN FLOORDouglaston, NY 11362-1941
Mailing Address40 Harmon StLong Beach, NY 11561-2708 · (516) 351-1095
Phone(718) 461-3065
Sole ProprietorYes
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 12, 2020
✔ NPI 1407461676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 308746
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7200 DOUGLASTON PKWY, Douglaston, NY 11362
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Secondary Practice Location 1

Location 140 Harmon StLong Beach, NY 11561-2708 · Phone (516) 351-1095

Other Providers at the Same Location NPPES

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

ERION BARDHI
Nurse Practitioner (Family)
7200 DOUGLASTON PKWY
DOUGLASTON, NY 11362
Queens County (718) 461-3065

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 Kim Neenan-reilly's NPI number?

The NPI number for Kim Neenan-reilly is 1407461676. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Kim Neenan-reilly located?

Kim Neenan-reilly practices at 7200 Douglaston Pkwy Main Floor, Douglaston, NY 11362. The listed phone number is (718) 461-3065.

What is Kim Neenan-reilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kim Neenan-reilly was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.