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RELIANCE MEDICAL GROUP LLC NPI 1104245349


NPI Information

NPI: 1104245349
Provider Name: RELIANCE MEDICAL GROUP, LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 31D1073505

Address:
4013 ROUTE 9 N
HOWELL, NJ
ZIP 07731
Phone: (732) 905-5255
Get Directions

RELIANCE MEDICAL GROUP, LLC is a geriatric medicine internal medicine in Howell, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. RELIANCE MEDICAL GROUP, LLC NPI is 1104245349. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4013 ROUTE 9 N
HOWELL, NJ
ZIP 07731-021
Phone: (732) 905-5255
Fax: (732) 905-5266

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 31D1073505 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 10/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine25MA07164700NEW JERSEYNo
2207R00000XInternal Medicine25MA07968600NEW JERSEYNo
3207RG0300XInternal MedicineGeriatric Medicine25MA08497400NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18139504MEDICAIDNEW JERSEY
2036099MEDICARE PINNEW 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.