Organization Active NPI

Health Rover LLC

  • Clinical Medical Laboratory
  • Northport, NY
National Provider Identifier
1861097511
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HEALTH ROVER LLC
Practice address
81 Scudder Ave
Northport, NY 11768-2966
Phone
(631) 384-6339
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zachary Adams
Title
Coo
Phone
(631) 384-6339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

81 Scudder Ave
Northport, NY 11768-2966

Mailing address

81 Scudder Ave
Northport, NY 11768-2966

National Provider Directory

National Provider Directory

Locations

81 Scudder Ave
Northport, NY 11768
Phone (631) 384-6339

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1861097511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SCUDDER AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SCUDDER AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682966",
            "telephone_number": "631-384-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ROVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "631-384-6339"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.