Jon M Regis, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA03856300 Issued in NJ

Practice address

525 Tilton Rd
Northfield, NJ 08225-1217

Phone

(609) 652-2404

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reliance Medical Group LLC

  • Specialist
  • Northfield, NJ
  • NPI 1861555294
  Medicare reassignment NPD Authorized official
• Reliance Medical Group, LLC

  • Family Medicine Physician
  • Atlantic City, NJ
  • NPI 1154720613
  NPD Authorized official
• Broadway Family Practice, PC

  • Podiatrist
  • Pleasantville, NJ
  • NPI 1255775821
  NPD (past) Authorized official
• Reliance Medical Group, LLC

  • Podiatrist
  • Northfield, NJ
  • NPI 1558780379

  Obstetrics & Gynecology

  NPD (past) Authorized official
• Reliance Medical Group LLC

  • Obstetrics & Gynecology Physician
  • Northfield, NJ
  • NPI 1538860135
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1508880717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251217",
            "telephone_number": "609-272-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251217",
            "telephone_number": "609-652-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGIS",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA03856300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3585204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Applied Behavioral Treatment
• Quality Care Pediatrics, LLC.
• Quigley-Simpson Inc
• Lauren Reale, AU.D., CCC-A
• Regional Nephrology Associates, P.a.
• Emily Reichenbach
• Reliance Medical Group LLC
• Reliance Medical Group LLC
• Reliance Medical Group, LLC
• Retinal & Ophthalmic Consultants, P.C.

• Obstetrics & Gynecology Physician in Northfield, NJ
• Providers in Northfield, 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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.