Provider Demographics
NPI:1366860751
Name:RELIABLE MEDICAL INC
Entity Type:Organization
Organization Name:RELIABLE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-604-0863
Mailing Address - Street 1:760 US HIGHWAY 46
Mailing Address - Street 2:#17
Mailing Address - City:KENVIL
Mailing Address - State:NJ
Mailing Address - Zip Code:07847-2643
Mailing Address - Country:US
Mailing Address - Phone:973-598-8885
Mailing Address - Fax:973-598-0789
Practice Address - Street 1:760 US HIGHWAY 46
Practice Address - Street 2:#17
Practice Address - City:KENVIL
Practice Address - State:NJ
Practice Address - Zip Code:07847-2643
Practice Address - Country:US
Practice Address - Phone:973-598-8885
Practice Address - Fax:973-598-0789
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC HEALTHCARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-02
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332BX2000X332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies