Organization
GROVER MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI GROVER (CEO)
(516) 882-7473
Entity
Organization
Contact information
Practice address
100 NEWBRIDGE RD STE 6, HICKSVILLE, NY 11801-3948
(516) 882-7473
(516) 530-9478
Mailing address
1077 IRIS PL, WESTBURY, NY 11590-5610
(917) 299-6051
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06211930
—
NY
01
—
1134772320
CMS
NY
Enumeration date
03/24/2020
Last updated
04/03/2023
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