Active NPIIndividual provider

Michael Broker, MD

Internal Medicine, Cardiovascular Disease in West Nyack, New York

NPI Number1619473196
Practice location
2 Centerock RD, West Nyack, NY 10994-2215
Fax
845-703-6297
Last updated
September 3, 2025

Michael Broker is an Internal Medicine, Cardiovascular Disease based in West Nyack, NY. Michael Broker practices in West Nyack, NY and has the professional credentials of MD. The NPI Number for Michael Broker is 1619473196 and holds a License No. 309452 (NY). The current practice location address for Michael Broker is 2 Centerock RD, West Nyack, NY 10994-2215 and can be reached out via phone at 845-703-6999 and via fax at 845-703-6297.

Provider Profile Details

NPI Number
1619473196
Provider Name
Michael Broker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Centerock RD, West Nyack, NY 10994-2215
Phone Number
845-703-6999
Fax Number
845-703-6297
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2018
Last Update Date
September 3, 2025
Certification Date
September 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Centerock RD
West Nyack, NY 10994-2215
Zip
10994-2215
Phone Number
845-703-6999
Fax Number
845-703-6297
West Nyack, NY 10994Get directions →

Provider Business Mailing Address Details

Address
Po Box 411730
Boston, MA 02241-1730
City
Boston
State
MA
Zip
02241-1730
Phone Number
845-703-6999
Fax Number
845-703-6297

License Information

License Number
309452
License State
NY
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Michael Broker, MD?

The NPI number of Michael Broker, MD is 1619473196. It was assigned on April 3, 2018 and is currently active in the NPPES registry.

What is the specialty of Michael Broker, MD?

Michael Broker, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NY under license number 309452.

Where does Michael Broker, MD practice?

The practice location is 2 Centerock RD, West Nyack, NY 10994-2215. The office can be reached at 845-703-6999 (phone) or 845-703-6297 (fax).

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 1619473196 directly on the NPPES registry website.

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