Healthcare Provider Details

I. General information

NPI: 1609751726
Provider Name (Legal Business Name): NORTH JERSEY FERTILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 KINDERKAMACK RD STE 200
ORADELL NJ
07649-1602
US

IV. Provider business mailing address

227 LAUREL RD STE 300
VOORHEES NJ
08043-8303
US

V. Phone/Fax

Practice location:
  • Phone: 201-666-4200
  • Fax: 201-666-2262
Mailing address:
  • Phone: 856-669-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE E JARED
Title or Position: DIRECTOR OF REVENUE CYCLE MANAGEMEN
Credential:
Phone: 763-294-2012