Active NPIOrganization

Reliance Medical Group, LLC

Podiatrist in Northfield, New Jersey

NPI Number1558780379
Practice location
1601 Tilton RD, Northfield, NJ 08225-1877
Fax
609-272-9317
Last updated
April 9, 2014

Reliance Medical Group, LLC is a healthcare organization based in Northfield, NJ. Reliance Medical Group, LLC practices in Northfield, NJ. The NPI Number for Reliance Medical Group, LLC is 1558780379 and holds a License No. 25MA07552100 (NJ). The current practice location address for Reliance Medical Group, LLC is 1601 Tilton RD, Northfield, NJ 08225-1877 and can be reached out via phone at 609-272-0655 and via fax at 609-272-9317.

Provider Profile Details

NPI Number
1558780379
Provider Name
Reliance Medical Group, LLC
Provider Entity Type
Organization
Address
1601 Tilton RD, Northfield, NJ 08225-1877
Phone Number
609-272-0655
Fax Number
609-272-9317
Primary Taxonomy
Podiatrist · 213E00000X
Organization Subpart
No
Authorized Official
Jon M Regis, MD · Owner · 609-272-0655
Provider Enumeration Date
April 9, 2014
Last Update Date
April 9, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1601 Tilton RD
Northfield, NJ 08225-1877
Zip
08225-1877
Phone Number
609-272-0655
Fax Number
609-272-9317
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
22 N Franklin Blvd
Pleasantville, NJ 08232-2547
City
Pleasantville
State
NJ
Zip
08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317

License Information

License Number (1)
25MA07552100
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MA03856300
License State (2)
NJ
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X
License Number (3)
25MD00197100
License State (3)
NJ
Taxonomy (3)
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Reliance Medical Group, LLC?

The NPI number of Reliance Medical Group, LLC is 1558780379. It was assigned on April 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Reliance Medical Group, LLC?

Reliance Medical Group, LLC is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MA07552100.

Where does Reliance Medical Group, LLC practice?

The practice location is 1601 Tilton RD, Northfield, NJ 08225-1877. The office can be reached at 609-272-0655 (phone) or 609-272-9317 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558780379 directly on the NPPES registry website.

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