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RELIANCE MEDICAL GROUP LLC NPI 1255751285


NPI Information

NPI: 1255751285
Provider Name: RELIANCE MEDICAL GROUP, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 31D0120143

Address:
331 E JIMMIE LEEDS RD
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-6016
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RELIANCE MEDICAL GROUP, LLC is an obstetrics gynecology in Galloway, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RELIANCE MEDICAL GROUP, LLC NPI is 1255751285. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

331 E JIMMIE LEEDS RD
GALLOWAY, NJ
ZIP 08205-123
Phone: (609) 652-6016
Fax: (609) 652-2406

The provider's authorized official is Jon M Regis .
The authorized official title is Owner and has the following contact phone number (609) 272-0655.

The CLIA number assigned to this NPI record is 31D0120143 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25MA07552100NEW JERSEYNo
2207V00000XObstetrics & Gynecology25MA05992900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036099MEDICARE PINNEW JERSEY
28139504MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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