Provider Demographics
NPI:1982718243
Name:RELIABLE MEDICAL INC
Entity Type:Organization
Organization Name:RELIABLE MEDICAL INC
Other - Org Name:DYNAMIC HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRABKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-657-2100
Mailing Address - Street 1:151B HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6823
Mailing Address - Country:US
Mailing Address - Phone:201-883-1515
Mailing Address - Fax:201-883-1530
Practice Address - Street 1:151B HUDSON ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6823
Practice Address - Country:US
Practice Address - Phone:201-883-1515
Practice Address - Fax:201-883-1530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC HEALTHCARE SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-17
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0060283Medicaid
NJ5139880001Medicare NSC