Healthcare Provider Details

I. General information

NPI: 1902739675
Provider Name (Legal Business Name): OMNICORE VENTURES SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EAST ST
JERSEY CITY NJ
07306-1893
US

IV. Provider business mailing address

1 EAST ST
JERSEY CITY NJ
07306-1893
US

V. Phone/Fax

Practice location:
  • Phone: 251-588-6646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RAVIPAL LUTHRA
Title or Position: CEO
Credential:
Phone: 251-588-6646