Reliance Medical Group, Llc
LBN: Reliance Medical Group, Llc
Reliance Medical Group, Llc is an health care organization with primary practice located at 1325 Baltic Ave , Atlantic City NJ 08401-4516. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Reliance Medical Group, Llc can be contacted via phone (609) 441-0723, or through Regis, Jon M via phone (609) 272-0655.
Contact Information
Primary practice address
1325 Baltic Ave
Atlantic City NJ 08401-4516
Phone: (609) 441-0723
Fax: (609) 441-0953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA07552100 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA04388900 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA03906000 | New Jersey |
Profile Details
| NPI number | 1154720613 |
|---|---|
| LBN Legal business name | Reliance Medical Group, Llc |
| DBA Doing business as | |
| Authorized official | Regis, Jon M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2014 |
| Last updated | Aug 20th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154720613 | NPPES |
| New Jersey | MEDICAID | 8139504 |
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