Healthcare Provider Details

I. General information

NPI: 1669829107
Provider Name (Legal Business Name): JASMINE M. ALY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 YORK ST STE 301
JERSEY CITY NJ
07302-3838
US

IV. Provider business mailing address

94 OLD SHORT HILLS RD STE 403E
LIVINGSTON NJ
07039-5672
US

V. Phone/Fax

Practice location:
  • Phone: 201-275-0010
  • Fax: 973-548-9500
Mailing address:
  • Phone: 973-548-9900
  • Fax: 973-548-9500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number25MA10035100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: