Reliance Medical Group, Llc

LBN: Reliance Medical Group, Llc
Reliance Medical Group, Llc is an health care organization with primary practice located at 1601 Tilton Rd , Northfield NJ 08225-1877. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Reliance Medical Group, Llc can be contacted via phone (609) 272-0655, or through Regis, Jon M via phone (609) 272-0655.

Contact Information

Primary practice address
1601 Tilton Rd Northfield NJ 08225-1877
Phone: (609) 272-0655
Fax: (609) 272-9317
Website:
Map and Directions
Authorized official contact:
Name: Regis, Jon M Doctor of Medicine (MD)
Phone: (609) 272-0655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07552100 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA03856300 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00197100 New Jersey

Profile Details

NPI number 1558780379
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 Apr 9th, 2014
Last updated Apr 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558780379 NPPES
New Jersey MEDICAID 8139504

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