Healthcare Provider Details

I. General information

NPI: 1952531857
Provider Name (Legal Business Name): NITIN RELIA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2009
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 S MAIN RD STE 2A
VINELAND NJ
08360-6516
US

IV. Provider business mailing address

1318 S MAIN RD STE 2A
VINELAND NJ
08360-6516
US

V. Phone/Fax

Practice location:
  • Phone: 856-205-9900
  • Fax: 856-205-0041
Mailing address:
  • Phone: 856-205-9900
  • Fax: 856-205-0041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35.123070
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: