Healthcare Provider Details

I. General information

NPI: 1093350340
Provider Name (Legal Business Name): NEW HOPE FERTILITY LONG ISLAND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2019
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 N BROADWAY STE 305
JERICHO NY
11753-2109
US

IV. Provider business mailing address

4 COLUMBUS CIR FL 3
NEW YORK NY
10019-1100
US

V. Phone/Fax

Practice location:
  • Phone: 516-931-3333
  • Fax:
Mailing address:
  • Phone: 212-969-7472
  • Fax: 646-661-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ZAHER O MERHI
Title or Position: PARTNER
Credential: M.D.
Phone: 718-801-9153