RELIANCE MEDICAL GROUP LLC NPI 1558780379

NPI Information

  • NPI: 1558780379
  • Provider Name: RELIANCE MEDICAL GROUP, LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1601 TILTON RD
    NORTHFIELD, NJ
    ZIP 08225
  • Phone: (609) 272-0655

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NPI Details

RELIANCE MEDICAL GROUP, LLC is a podiatrist in Northfield, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RELIANCE MEDICAL GROUP, LLC NPI is 1558780379. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 TILTON RD
NORTHFIELD, NJ
ZIP 08225-877
Phone: (609) 272-0655
Fax: (609) 272-9317

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 enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.

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 & Gynecology25MA03856300NEW JERSEYNo
3213E00000XPodiatrist25MD00197100NEW 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
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: 11/21/2025

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