Reliance Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D64083 Issued in MD

Legal business name

RELIANCE HEALTHCARE, LLC

Practice address

1993 Pulaski Hwy
Bear, DE 19701-1708

Phone

(302) 838-3100

NPI assigned

Jun 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zebun Nisa

Title

Managing Member

Phone

(443) 907-5756

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole L Baldwin

  • Family Nurse Practitioner
  • Bear, DE
  • NPI 1679467526
  Medicare reassignment Care Compare group NPD
• Hanh Hong Nguyen, FNP

  • Family Nurse Practitioner
  • Voorhees, NJ
  • NPI 1790495240

  DE

  Medicare reassignment Care Compare group NPD
• Hassan Waqar Bangash, FNP

  • Family Nurse Practitioner
  • Bear, DE
  • NPI 1538838958
  Medicare reassignment Care Compare group
• Yasmin A Chaudhry, MD

  • Family Medicine Physician
  • Bear, DE
  • NPI 1801849377
  Medicare reassignment Care Compare group
• Taylor C Mueller

  • Physician Assistant
  • Bear, DE
  • NPI 1114708252
  Medicare reassignment Care Compare group
• Qayyum Nazar, MD

  • Internal Medicine Physician
  • Bear, DE
  • NPI 1669425120
  Medicare reassignment Care Compare group
• Michelle Golden

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1104339852

  DE

  Medicare reassignment Care Compare group
• Jessica Badger

  • Physician Assistant
  • Wilmington, DE
  • NPI 1740855444
  Medicare reassignment
• Haley Lynn Bond, PA-C

  • Physician Assistant
  • Newark, DE
  • NPI 1598216319
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1073043824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011708",
            "telephone_number": "302-838-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011708",
            "telephone_number": "302-838-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216737",
            "country_code": "US",
            "telephone_number": "410-398-7984",
            "fax_number": "410-392-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANCE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "NISA",
        "authorized_official_first_name": "ZEBUN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-907-5756"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D64083",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D64019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapid Results Phlebotomy Service LLC
• Diana Rash-Ellis
• Fatimah Rasul-Pettigrew
• Anjail Reddick, MS
• Rehoboth Well
• Reliance Urgent Care LLC
• Reliance Walk in Medical, LLC
• Relianceaco LLC
• Renewed Life Christian Counseling Center
• Renewed Life Christian Counseling Center Inc

• Family Medicine Physician in Bear, DE
• Providers in Bear, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.