Broadway Medical Group PC
Family Medicine in Clifton, New Jersey
1144149592- Practice location
- 1001 Clifton Ave Ste 1B, Clifton, NJ 07013-3586
- Phone
- 929-633-0990
- Fax
- —
- Last updated
- November 6, 2026
Broadway Medical Group PC is a healthcare organization based in Clifton, NJ. Broadway Medical Group PC practices in Clifton, NJ. The NPI Number for Broadway Medical Group PC is 1144149592. The current practice location address for Broadway Medical Group PC is 1001 Clifton Ave Ste 1B, Clifton, NJ 07013-3586 and can be reached out via phone at 929-633-0990.
Provider Profile Details
- NPI Number
- 1144149592
- Provider Name
- Broadway Medical Group PC
- Provider Entity Type
- Organization
- Address
- 1001 Clifton Ave Ste 1B, Clifton, NJ 07013-3586
- Phone Number
- 929-633-0990
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Juan Ruddy Fondeur Acosta, MD · President · 929-633-0990
- Other Names
- Juan Ruddy Fondeur Soni (Other Name)
- Provider Enumeration Date
- July 10, 2026
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1001 Clifton Ave Ste 1B
Clifton, NJ 07013-3586 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3586
- Phone Number
- 929-633-0990
Provider Business Mailing Address Details
- Address
- 1 Columbus Pl Apt S21b
New York, NY 10019-8206 - City
- New York
- State
- NY
- Zip
- 10019-8206
- Phone Number
- 929-633-0990
License Information
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- Taxonomy (2)
- Internal Medicine, Infectious Disease · 207RI0200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Clifton, NJ
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- Anna Pudinak, MDFamily Medicine · NPI 1952665200
- Ap Health, LLCFamily Medicine · NPI 1881063915
- Christine Leroy, MD, PHDFamily Medicine · NPI 1538542949
- Clifton Family Medical CenterFamily Medicine · NPI 1457518631
- Clifton Medical Center, INCFamily Medicine · NPI 1013078385
Frequently Asked Questions
What is the NPI number of Broadway Medical Group PC?
The NPI number of Broadway Medical Group PC is 1144149592. It was assigned on July 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Broadway Medical Group PC?
Broadway Medical Group PC is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Broadway Medical Group PC practice?
The practice location is 1001 Clifton Ave Ste 1B, Clifton, NJ 07013-3586. The office can be reached at 929-633-0990 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144149592 directly on the NPPES registry website.