Provider Demographics
NPI:1710855929
Name:HERA HEALTH HAVEN LLC
Entity type:Organization
Organization Name:HERA HEALTH HAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NAGAEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-240-1593
Mailing Address - Street 1:541 CEDAR HILL AVE
Mailing Address - Street 2:STE 1, FIRST FLOOR
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2150
Mailing Address - Country:US
Mailing Address - Phone:201-240-1593
Mailing Address - Fax:551-269-2313
Practice Address - Street 1:541 CEDAR HILL AVE
Practice Address - Street 2:STE 1, FIRST FLOOR
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-2150
Practice Address - Country:US
Practice Address - Phone:201-240-1593
Practice Address - Fax:551-269-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty