RELIANCE MEDICAL GROUP, LLC (NPI# 1255751285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255751285 |
| Entity Type | Organization |
| Organization Name | RELIANCE MEDICAL GROUP, LLC |
| Practice Address |
331 E Jimmie Leeds Rd Galloway NJ 08205-4123 |
| Mailing Address |
22 N Franklin Blvd 2nd Floor Pleasantville NJ 08232-2547 |
| Practice Telephone | 6096526016 |
| Practice Fax Number | 6096522406 |
| Mailing Telephone | 6092720655 |
| Mailing Fax Number | 6092729317 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | JON M REGIS (OWNER) |
| Authorized Official Telephone | 6092720655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 25MA07552100 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 25MA05992900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8139504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720613 | Reliance Medical Group, LLC | Internal Medicine | 1325 Baltic Ave, Atlantic City, NJ 08401-4516 | 2014-08-20 |
| 1104245349 | Reliance Medical Group, LLC | Emergency Medicine | 4013 Route 9 N, Howell, NJ 07731-4021 | 2014-04-15 |
| 1558780379 | Reliance Medical Group, LLC | Family Medicine | 1601 Tilton Rd, Northfield, NJ 08225-1877 | 2014-04-09 |
| Street Address |
331 E JIMMIE LEEDS RD |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114937398 | Louis Wesley | Obstetrics & Gynecology | 331 E Jimmie Leeds Rd, Galloway, NJ 08205-4123 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761262 | Linda Stanley | Obstetrics & Gynecology | 331 Jimmie Leeds Road, Galloway, NJ 08205 | 2007-04-23 |
| 1326101726 | Phyllis Marcy Perkins | Obstetrics & Gynecology | 314 Chris Gaupp Dr, Suite 101, Galloway, NJ 08205-4464 | 2006-12-18 |
| 1114937398 | Louis Wesley | Obstetrics & Gynecology | 331 E Jimmie Leeds Rd, Galloway, NJ 08205-4123 | 2006-08-09 |
| 1518119296 | Regional Women's Health Group, LLC | Obstetrics & Gynecology | 53 W White Horse Pike, Galloway, NJ 08205-9450 | 2008-10-14 |
| 1568653566 | Regional Women's Health Group, LLC | Obstetrics & Gynecology | 53 W White Horse Pike, Galloway, NJ 08205-9450 | 2007-08-05 |
| 1144373846 | Ladies Choice Obstetrics & Gynecology PC | Obstetrics & Gynecology | 314 Chris Gaupp Dr, Suite 101, Galloway, NJ 08205-4464 | 2007-01-18 |
| 1770635385 | Lussienne Wisniewski | Obstetrics & Gynecology | 314 Chris Gaupp Dr, Suite 101, Galloway, NJ 08205-4464 | 2007-01-17 |
| 1578615084 | Anne Petit | Obstetrics & Gynecology | 314 Chris Gaupp Dr, Suite 101, Galloway, NJ 08205-4464 | 2007-01-17 |
| 1689724932 | Sherilyn Bredin | Obstetrics & Gynecology | 314 Chris Gaupp Dr, Suite 101, Galloway, NJ 08205-4464 | 2007-01-11 |
| 1083658728 | Joseph Louis Destefano | Obstetrics & Gynecology | 53 W White Horse Pike, Galloway, NJ 08205 | 2006-06-15 |
| Find all providers in GALLOWAY | ||||
Please comment or provide details below to improve the information on RELIANCE MEDICAL GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.