Nathalia C Broderick, OD
Optometrist in Millburn, New Jersey
1740631860- Practice location
- 288 Main St, Millburn, NJ 07041-1126
- Phone
- 862-288-2020
- Fax
- 862-208-2221
- Last updated
- February 24, 2026
Nathalia Cristina Broderick is an Optometrist based in Millburn, NJ. Nathalia Cristina Broderick practices in Millburn, NJ and has the professional credentials of OD. The NPI Number for Nathalia Cristina Broderick is 1740631860 and holds a License No. 27OM00142800 (NJ). The current practice location address for Nathalia Cristina Broderick is 288 Main St, Millburn, NJ 07041-1126 and can be reached out via phone at 862-288-2020 and via fax at 862-208-2221.
Provider Profile Details
- NPI Number
- 1740631860
- Provider Name
- Nathalia Cristina Broderick
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 288 Main St, Millburn, NJ 07041-1126
- Phone Number
- 862-288-2020
- Fax Number
- 862-208-2221
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 30, 2016
- Last Update Date
- February 24, 2026
- Certification Date
- February 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 288 Main St
Millburn, NJ 07041-1126 - City
- Millburn
- State
- New Jersey
- Zip
- 07041-1126
- Phone Number
- 862-288-2020
- Fax Number
- 862-208-2221
Provider Business Mailing Address Details
- Address
- 288 Main St
Millburn, NJ 07041-1126 - City
- Millburn
- State
- NJ
- Zip
- 07041-1126
- Phone Number
- 862-288-2020
- Fax Number
- 862-208-2221
License Information
- License Number (1)
- 27OM00142800
- License State (1)
- NJ
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- TUV008448-1
- License State (2)
- NY
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Millburn, NJ
View all Optometrists in Millburn →Frequently Asked Questions
What is the NPI number of Nathalia C Broderick, OD?
The NPI number of Nathalia C Broderick, OD is 1740631860. It was assigned on June 30, 2016 and is currently active in the NPPES registry.
What is the specialty of Nathalia C Broderick, OD?
Nathalia C Broderick, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OM00142800.
Where does Nathalia C Broderick, OD practice?
The practice location is 288 Main St, Millburn, NJ 07041-1126. The office can be reached at 862-288-2020 (phone) or 862-208-2221 (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 1740631860 directly on the NPPES registry website.