Broadway Dental Group, PC
Clinic/Center, Dental in Newark, New Jersey
1639642028- Practice location
- 81 Broadway, Newark, NJ 07104-3801
- Phone
- 862-237-7810
- Fax
- 862-237-7807
- Last updated
- January 8, 2019
Broadway Dental Group, PC is a healthcare organization based in Newark, NJ. Broadway Dental Group, PC practices in Newark, NJ. The NPI Number for Broadway Dental Group, PC is 1639642028. The current practice location address for Broadway Dental Group, PC is 81 Broadway, Newark, NJ 07104-3801 and can be reached out via phone at 862-237-7810 and via fax at 862-237-7807.
Provider Profile Details
- NPI Number
- 1639642028
- Provider Name
- Broadway Dental Group, PC
- Provider Entity Type
- Organization
- Address
- 81 Broadway, Newark, NJ 07104-3801
- Phone Number
- 862-237-7810
- Fax Number
- 862-237-7807
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Lena Khaylomsky, DMD · Dentist · 862-237-7810
- Provider Enumeration Date
- January 8, 2019
- Last Update Date
- January 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Broadway
Newark, NJ 07104-3801 - City
- Newark
- State
- New Jersey
- Zip
- 07104-3801
- Phone Number
- 862-237-7810
- Fax Number
- 862-237-7807
Provider Business Mailing Address Details
- Address
- 81 Broadway
Newark, NJ 07104-3801 - City
- Newark
- State
- NJ
- Zip
- 07104-3801
- Phone Number
- 862-237-7810
- Fax Number
- 862-237-7807
License Information
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · 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 Broadway Dental Group, PC?
The NPI number of Broadway Dental Group, PC is 1639642028. It was assigned on January 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Broadway Dental Group, PC?
Broadway Dental Group, PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does Broadway Dental Group, PC practice?
The practice location is 81 Broadway, Newark, NJ 07104-3801. The office can be reached at 862-237-7810 (phone) or 862-237-7807 (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 1639642028 directly on the NPPES registry website.