Healthcare Provider Details

I. General information

NPI: 1366860751
Provider Name (Legal Business Name): RELIABLE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151B HUDSON ST
HACKENSACK NJ
07601-6823
US

IV. Provider business mailing address

777 E PARK DR STE 210
HARRISBURG PA
17111-2754
US

V. Phone/Fax

Practice location:
  • Phone: 877-883-1500
  • Fax: 201-883-1530
Mailing address:
  • Phone: 800-845-4204
  • Fax: 717-657-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number332BX2000X
License Number StateNJ

VIII. Authorized Official

Name: MICHAEL GRABKO
Title or Position: CEO
Credential:
Phone: 717-657-2100