Provider Demographics
NPI:1437260593
Name:FERTILITY INSTITUTE OF NJ & NY
Entity Type:Organization
Organization Name:FERTILITY INSTITUTE OF NJ & NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-666-4200
Mailing Address - Street 1:680 KINDER KANAEK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649
Mailing Address - Country:US
Mailing Address - Phone:201-666-4200
Mailing Address - Fax:201-666-2262
Practice Address - Street 1:680 KINDERKAMACK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649
Practice Address - Country:US
Practice Address - Phone:201-666-4200
Practice Address - Fax:201-666-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility