Organization Active NPI

Reliant.MD Medical Associates of New Jersey L.L.C

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1467117689
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RELIANT.MD MEDICAL ASSOCIATES OF NEW JERSEY L.L.C
Practice address
6500 Riverplace Building 4 Suite 102
Austin, TX 78730
Phone
(855) 632-6940
Fax
(469) 340-0657
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Monique Harris
Title
Director of Clinical Operations
Phone
(405) 204-5109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6500 Riverplace Building 4 Suite 102
Austin, TX 78730

Mailing address

6500 Riverplace Building 4 Suite 102
Austin, TX 78730
Phone (855) 632-6940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@reliantid.com

National Provider Directory

National Provider Directory

Locations

6500 River Place Blvd
Bldg 4
Austin, TX 78730
Phone (512) 717-8391

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1467117689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RIVERPLACE BUILDING 4 SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "855-632-6940",
            "fax_number": "469-340-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 RIVERPLACE BUILDING 4 SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "855-632-6940",
            "fax_number": "469-340-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT.MD MEDICAL ASSOCIATES OF NEW JERSEY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "405-204-5109"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@reliantid.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6500 Riverplace Building 4 Suite 102",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.