Reliant Endocrinology, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

RELIANT ENDOCRINOLOGY, LLC

Practice address

385 Clinton Ave Ste 3
Wyckoff, NJ 07481-1934

Phone

(914) 255-1333

Fax

(551) 587-7756

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Suhalia Bakerywala, MDNPI 1073883229

Title

Doctor

Phone

(914) 255-1333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

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

• Suhalia Bakerywala, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wyckoff, NJ
  • NPI 1073883229
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1639747447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE STE 389",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811438",
            "fax_number": "551-587-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CLINTON AVE STE 3",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811934",
            "telephone_number": "914-255-1333",
            "fax_number": "551-587-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BAKERYWALA",
        "authorized_official_first_name": "SUHALIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-255-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.