Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert William Reilly, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487002192

Mr. Robert William Reilly, ATC is a Student in an Organized Health Care Education/Training Program in East Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

344 Prospect St
East Orange, NJ 07017
Phone: (973) 266-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 25MT00114500 (NJ)

Record details

NPI number1487002192
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing address3865 Greenwood Dr, Bethlehem, PA 18020-9677

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