Broad Street Wellness Center
General Practice in Clifton, New Jersey
1235371576- Practice location
- 642 Broad St, 2ND Fl; Ste 9, Clifton, NJ 07013-1615
- Phone
- 973-614-9500
- Fax
- —
- Last updated
- June 17, 2009
Broad Street Wellness Center is a healthcare organization based in Clifton, NJ. Broad Street Wellness Center practices in Clifton, NJ. The NPI Number for Broad Street Wellness Center is 1235371576. The current practice location address for Broad Street Wellness Center is 642 Broad St, 2ND Fl; Ste 9, Clifton, NJ 07013-1615 and can be reached out via phone at 973-614-9500.
Provider Profile Details
- NPI Number
- 1235371576
- Provider Name
- Broad Street Wellness Center
- Provider Entity Type
- Organization
- Address
- 642 Broad St, 2ND Fl; Ste 9, Clifton, NJ 07013-1615
- Phone Number
- 973-614-9500
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Marina Belozersky, CPA · Office Manager · 973-614-9500
- Provider Enumeration Date
- April 1, 2009
- Last Update Date
- June 17, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 642 Broad St
2ND Fl; Ste 9
Clifton, NJ 07013-1615 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-1615
- Phone Number
- 973-614-9500
Provider Business Mailing Address Details
- Address
- Po Box 476
Roseland, NJ 07068-0476 - City
- Roseland
- State
- NJ
- Zip
- 07068-0476
License Information
- License State
- NJ
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Broad Street Wellness Center?
The NPI number of Broad Street Wellness Center is 1235371576. It was assigned on April 1, 2009 and is currently active in the NPPES registry.
What is the specialty of Broad Street Wellness Center?
Broad Street Wellness Center is registered under the primary taxonomy General Practice (code 208D00000X).
Where does Broad Street Wellness Center practice?
The practice location is 642 Broad St, 2ND Fl; Ste 9, Clifton, NJ 07013-1615. The office can be reached at 973-614-9500 (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 1235371576 directly on the NPPES registry website.