Reliance Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07552100 Issued in NJ

Legal business name

RELIANCE MEDICAL GROUP, LLC

Practice address

1325 Baltic Ave
Atlantic City, NJ 08401-4516

Phone

(609) 441-0723

Fax

(609) 441-0953

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Jon M Regis, MDNPI 1508880717

Title

Owner

Phone

(609) 272-0655

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 6

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

• Jon M Regis, M.D.

  • Obstetrics & Gynecology Physician
  • Northfield, NJ
  • NPI 1508880717
  NPD Authorized official
• Alan J Feldman, MD

  • Obstetrics & Gynecology Physician
  • Linwood, NJ
  • NPI 1114961851
  NPD
• Anne Petit, M.D.

  • Obstetrics & Gynecology Physician
  • Galloway, NJ
  • NPI 1578615084
  NPD
• Sharon M Smith, MD

  • Obstetrics & Gynecology Physician
  • Summit, NJ
  • NPI 1659349066
  NPD
• James O Aboderin, PT

  • Physical Therapist
  • Mays Landing, NJ
  • NPI 1083888713
  NPD (past)
• Dana E Sless, DO

  • Pediatrics Physician
  • Egg Harbor Township, NJ
  • NPI 1184615973
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1154720613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N FRANKLIN BLVD",
            "address_2": "2ND FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322547",
            "telephone_number": "609-272-0655",
            "fax_number": "609-272-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BALTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084014516",
            "telephone_number": "609-441-0723",
            "fax_number": "609-441-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "REGIS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-272-0655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07552100",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04388900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03906000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8139504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khosrow Rastgar, M.D.
• Kokila L. Rathod, APN
• RCG Southern New Jersey, LLC
• Reed Integrative Health, LLC
• James B Regan, MD
• Kimberly Remlein, APN
• Zhiyong Ren, M.D., PHD
• Nadia Reyes, PHARMD
• Richard a.Mingionemd
• Rite Aid of New Jersey Inc

• Family Medicine Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.