Reliance Medical Group, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA05992900 Issued in NJ

Legal business name

RELIANCE MEDICAL GROUP, LLC

Practice address

331 E Jimmie Leeds Rd
Galloway, NJ 08205-4123

Phone

(609) 652-6016

Fax

(609) 652-2406

NPI assigned

Apr 17, 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, MD

Title

Owner

Phone

(609) 272-0655

Specialties & licenses 2

Addresses

Other identifiers 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Trenton Family Practice P.C.

  • Specialist
  • Trenton, NJ
  • NPI 1740247964

  Member Of

  NPD member

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1255751285",
    "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": "331 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054123",
            "telephone_number": "609-652-6016",
            "fax_number": "609-652-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "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": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05992900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8139504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles Reeves
• Regional Women's Health Group, LLC (RWHG Alan J Feldman, MD)
• Regional Women's Health Group, LLC (RWHG Joseph L. DeStefano, M.D.)
• Corinne Reilly, LCSW
• Jeannette C.a Reilly, DPM
• Rem New Jersey, Inc.
• Rem New Jersey, Inc.
• Amanda Rencher
• Res-Care New Jersey, Inc.
• Restore Physical Therapy & Wellness (Agape Physical Therapy)

• Obstetrics & Gynecology Physician in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.