Healthcare Provider Details

I. General information

NPI: 1386581163
Provider Name (Legal Business Name): RELIANT INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 ROUTE 66 STE 150
NEPTUNE NJ
07753-2645
US

IV. Provider business mailing address

15779 AUDUBON WAY
HAYMARKET VA
20169-2740
US

V. Phone/Fax

Practice location:
  • Phone: 732-755-0777
  • Fax: 732-231-5572
Mailing address:
  • Phone: 732-267-1619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN ANTHONY RICCI
Title or Position: OWNER
Credential: MD
Phone: 732-267-1619