MEDICARE: CONOR REILLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1275471807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONOR REILLY

Provider Business Mailing Address
First Line	:	14 PENNSYLVANIA AVE
Second Line	:
City	:	SPRING LAKE
State	:	NJ
Zip	:	07762-1030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 PENNSYLVANIA AVE
Second Line	:
City	:	SPRING LAKE
State	:	NJ
Zip	:	07762-1030
Country	:	US
Telephone Number	:	908-765-7640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

Similar Medicare Providers

1700883022 — GARY JOSEPH FELSBERG M.D.
Practice Location Address:

1030 SHADOWMOSS CIR
LAKE MARY, FL
32746-4440

Practice Phone: 407-716-5344
Practice Fax: 954-698-6963

1972587681 — MRS. GAYLE BUCKLEY MD
Practice Location Address:

318 RUHLE RD S
BALLSTON LAKE, NY
12019-1030

Practice Phone: 518-899-4133
Practice Fax: 518-899-5764

1821036484 — LAKE MARY WALK-IN MEDICAL CENTER
Practice Location Address:

870 S SUN DR , SUITE 1030
LAKE MARY, FL
32746-2057

Practice Phone: 407-333-0160
Practice Fax: 407-333-0108

1992727440 — DR. MARK L ROSCHINSKY DMD
Practice Location Address:

322 RUHLE RD S
BALLSTON LAKE, NY
12019-1030

Practice Phone: 518-899-2252
Practice Fax: 518-899-5297

1306950563 — HUDSON MOHAWK PEDIATRIC & ADOLESCENT MEDICINE
Practice Location Address:

318 RUHLE RD S
BALLSTON LAKE, NY
12019-1030

Practice Phone: 518-899-4133
Practice Fax: 518-899-5764

1386741825 — DR. MARGARET ELLEN EASTHAM MD
Practice Location Address:

1030 CHALET SUZANNE RD
LAKE WALES, FL
33859-7760

Practice Phone: 863-679-1818
Practice Fax: 863-679-1097

Directions to “ CONOR REILLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.