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REPERIO HEALTH MEDICAL GROUP, LLC
NPI 1205706702
Family Medicine in Englewood, NJ

Active since November 10, 2025CLIA Certified · 20 labs
61 W PALISADE AVE STE 2B, ENGLEWOOD, NJ 07631(844) 504-0402(503) 296-5806 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reperio Health Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REPERIO HEALTH MEDICAL GROUP, LLC (NPI 1205706702) is a healthcare organization registered as a family medicine in Englewood, New Jersey and active in the NPI registry since November 2025. The organization holds 20 active CLIA laboratory certificates and lists Alex Marsh, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1205706702
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREPERIO HEALTH MEDICAL GROUP, LLC
Location Address61 W PALISADE AVE STE 2BEnglewood, NJ 07631-2706
Mailing Address4784 Se 17th Ave Ste 125Portland, OR 97202-4715 · (844) 504-0402 · Fax (503) 296-5806
Phone(844) 504-0402
Fax(503) 296-5806
Organization SubpartYesParent: Reperio Health Medical Group, Pllc
Authorized OfficialAlex MarshManaging Owner · (503) 931-1114
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1205706702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
61 W PALISADE AVE STE 2B, Englewood, NJ 07631
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CLIA Laboratory Certificates CMS CLIA 20

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2345244

Reperio Health Medical Group, Plcc · Santa Fe, NM
Active · expires Jun 7, 2028
CLIA Number32D2345244
Laboratory TypeHome Health Agency
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorTravis B. Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group, Plcc150 Washington Ave, Suite 201, Santa Fe, NM 87501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 35D2345259

Reperio Health Medical Group, PLLC · Fargo, ND
Active · expires Jun 7, 2028
CLIA Number35D2345259
Laboratory TypeHome Health Agency
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorTravis B. Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group, PLLC1531 32nd Ave S Suite 102, Fargo, ND 58103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2345291

Reperio Health Medical Group, PLLC · San Antonio, TX
Active · expires Jun 7, 2028
CLIA Number45D2345291
Laboratory TypeHealth Main. Organization
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorTravis Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group, PLLC8918 Tesoro Dr, Suite 200, San Antonio, TX 78217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2345153

Reperio Health Medical Group PLLC · Marietta, GA
Active · expires Jun 4, 2028
CLIA Number11D2345153
Laboratory TypeHome Health Agency
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorTravis B. Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group PLLC1640 Powers Ferry Road, SE, Building 11, Suite 200, Marietta, GA 30067
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2345070

Reperio Health Medical Group, PLLC · Saint Louis, MO
Active · expires Jun 3, 2028
CLIA Number26D2345070
Laboratory TypeHome Health Agency
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorTravis B. Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group, PLLC4625 Lindell Blvd, Suite 200, Saint Louis, MO 63108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2345055

Reperio Health Medical Group, PLLC · Charlotte, NC
Active · expires Jun 3, 2028
CLIA Number34D2345055
Laboratory TypeHome Health Agency
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorTravis B. Rush
Laboratory Phone(844) 504-0402
Laboratory LocationReperio Health Medical Group, PLLC128 S Tryon 18th Floor, Charlotte, NC 28202
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEMENTS ABA THERAPY NJ LLC
Behavior Analyst
61 W PALISADE AVE STE 2B
ENGLEWOOD, NJ 07631
Bergen County (888) 860-3160
N THE MEANTIME
Case Management
61 W PALISADE AVE STE 2B
ENGLEWOOD, NJ 07631
Bergen County (201) 528-3830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reperio Health Medical Group, LLC's NPI number?

The NPI number for Reperio Health Medical Group, LLC is 1205706702. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Reperio Health Medical Group, LLC located?

Reperio Health Medical Group, LLC is located at 61 W Palisade Ave Ste 2B, Englewood, NJ 07631. The listed phone number is (844) 504-0402.

What is Reperio Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Reperio Health Medical Group, LLC hold CLIA laboratory certificates?

Yes. 20 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Reperio Health Medical Group, LLC was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.