Healthcare Provider Details

I. General information

NPI: 1194693770
Provider Name (Legal Business Name): HEY NOURI MEDICAL SERVICES EAST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MINETTA ST 6D
NEW YORK NY
10012
US

IV. Provider business mailing address

101 EISENHOWER PKWY STE 300
ROSELAND NJ
07068-1054
US

V. Phone/Fax

Practice location:
  • Phone: 332-256-6798
  • Fax:
Mailing address:
  • Phone: 332-256-6798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCA ZIERVOGEL
Title or Position: CHIEF ADMIN
Credential:
Phone: 332-256-6798