Healthcare Provider Details

I. General information

NPI: 1073444543
Provider Name (Legal Business Name): ROVER MEDICAL SERVICES EAST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111B SOUTH GOVERNORS AVE #24839
DOVER DE
19904-6906
US

IV. Provider business mailing address

500 PATERSON PLANK RD # 30535
UNION CITY NJ
07087-3416
US

V. Phone/Fax

Practice location:
  • Phone: 914-650-3855
  • Fax:
Mailing address:
  • Phone:
  • 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: EMMA GRIFFITH
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 914-650-3855