Broad Street Surgical Center, LLC
Clinic/Center, Multi-Specialty in Clifton, New Jersey
1417972217- Practice location
- 1429 Broad St, Clifton, NJ 07013-4221
- Phone
- 732-383-4150
- Fax
- —
- Last updated
- August 22, 2020
Broad Street Surgical Center, LLC is a healthcare organization based in Clifton, NJ. Broad Street Surgical Center, LLC practices in Clifton, NJ. The NPI Number for Broad Street Surgical Center, LLC is 1417972217. The current practice location address for Broad Street Surgical Center, LLC is 1429 Broad St, Clifton, NJ 07013-4221 and can be reached out via phone at 732-383-4150.
Provider Profile Details
- NPI Number
- 1417972217
- Provider Name
- Broad Street Surgical Center, LLC
- Provider Entity Type
- Organization
- Address
- 1429 Broad St, Clifton, NJ 07013-4221
- Phone Number
- 732-383-4150
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Mr. Kenneth Nesbihal · Business Manager · 732-383-4150
- Provider Enumeration Date
- July 13, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1429 Broad St
Clifton, NJ 07013-4221 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-4221
- Phone Number
- 732-383-4150
Provider Business Mailing Address Details
- Address
- 225 State Route 35
Suite 208
Red Bank, NJ 07701-5919 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5919
- Phone Number
- 732-383-4159
License Information
- Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X · 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 Surgical Center, LLC?
The NPI number of Broad Street Surgical Center, LLC is 1417972217. It was assigned on July 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Broad Street Surgical Center, LLC?
Broad Street Surgical Center, LLC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Broad Street Surgical Center, LLC practice?
The practice location is 1429 Broad St, Clifton, NJ 07013-4221. The office can be reached at 732-383-4150 (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 1417972217 directly on the NPPES registry website.