Healthcare Provider Details

I. General information

NPI: 1588523484
Provider Name (Legal Business Name): MEDVERRO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2026
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 BAYARD ST STE 308
NEW BRUNSWICK NJ
08901-2152
US

IV. Provider business mailing address

46 BAYARD ST STE 308
NEW BRUNSWICK NJ
08901-2152
US

V. Phone/Fax

Practice location:
  • Phone: 667-803-0636
  • Fax:
Mailing address:
  • Phone: 667-803-0636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: IRVIN RABINOVICH
Title or Position: CEO
Credential:
Phone: 667-803-0636