Reliance Medical Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RELIANCE MEDICAL GROUP LLC

Practice address

523 Tilton Rd
Northfield, NJ 08225-1217

Phone

(609) 272-0655

Fax

(609) 272-9317

NPI assigned

Dec 18, 2006

Last updated

Aug 23, 2024By the provider in NPPES

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, M.DNPI 1508880717

Title

President

Phone

(609) 272-0655

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 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

Locations (25 of 26)

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon M Regis, M.D.

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

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

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

  • Obstetrics & Gynecology Physician
  • Summit, NJ
  • NPI 1659349066
  Medicare reassignment NPD
• Amaka Akpunonu

  • Psychiatric/Mental Health Nurse Practitioner
  • Cinnaminson, NJ
  • NPI 1306435284
  NPD (past)
• Glenn R. Budnick, M.D.

  • Primary Care Clinic/Center
  • Margate City, NJ
  • NPI 1497956940
  NPD (past)
• Judith S Ruffin, MD

  • Obstetrics & Gynecology Physician
  • Linwood, NJ
  • NPI 1255523098
  NPD (past)
• Lisa Spurlock Abrams, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Allen, VA
  • NPI 1023267838
  NPD (past)
• Adeniyi O. Adelakun, M.D., M.P.H

  • Psychiatry Physician
  • Rockville, MD
  • NPI 1881984730
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1861555294",
    "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",
            "fax_number": "609-272-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251217",
            "telephone_number": "609-272-0655",
            "fax_number": "609-272-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 New Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251108",
            "country_code": "US",
            "telephone_number": "609-653-1016",
            "fax_number": "609-653-1064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Creek Crossing Blvd",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Hainesport",
            "state": "NJ",
            "postal_code": "08036",
            "country_code": "US",
            "telephone_number": "856-229-0025",
            "fax_number": "856-764-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANCE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "REGIS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-272-0655",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "036099",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Reale, AU.D., CCC-A
• Regional Nephrology Associates, P.a.
• Jon M Regis, M.D.
• Emily Reichenbach
• Reliance Medical Group LLC (Act On Womens Health)
• Reliance Medical Group, LLC
• Retinal & Ophthalmic Consultants, P.C.
• Angel R Reyes-Diaz, MD
• Bryan Stewart Riss
• Robert Foerster Optician, Inc. (Foerster Vision Center)

• Specialist in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.