Healthcare Provider Details

I. General information

NPI: 1003610932
Provider Name (Legal Business Name): ROVR MEDICAL GROUP NJ, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8951 CYPRESS WATERS BLVD STE 160-1045
COPPELL TX
75019-4661
US

IV. Provider business mailing address

8951 CYPRESS WATERS BLVD STE 160-1045
COPPELL TX
75019-4661
US

V. Phone/Fax

Practice location:
  • Phone: 202-276-8944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JANET NOEL
Title or Position: PRESIDENT
Credential: MD
Phone: 202-276-8944