Provider Demographics
NPI:1811880222
Name:HARLEM IVF FERTILITY MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:HARLEM IVF FERTILITY MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-255-5547
Mailing Address - Street 1:115 E 57TH ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2130
Mailing Address - Country:US
Mailing Address - Phone:212-381-9558
Mailing Address - Fax:212-381-9557
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:SUITE 420
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2130
Practice Address - Country:US
Practice Address - Phone:212-381-9558
Practice Address - Fax:212-381-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1720149784OtherCOMMERCIAL PLANS