Active NPIOrganization

Broadway Family Practice PC

Specialist in Pleasantville, New Jersey

NPI Number1780624031
Practice location
22 N Franklin Blvd, 2ND Floor, Pleasantville, NJ 08232-2547
Fax
609-272-9317
Last updated
August 30, 2013

Broadway Family Practice PC is a healthcare organization based in Pleasantville, NJ. Broadway Family Practice PC practices in Pleasantville, NJ. The NPI Number for Broadway Family Practice PC is 1780624031. The current practice location address for Broadway Family Practice PC is 22 N Franklin Blvd, 2ND Floor, Pleasantville, NJ 08232-2547 and can be reached out via phone at 609-272-0655 and via fax at 609-272-9317.

Provider Profile Details

NPI Number
1780624031
Provider Name
Broadway Family Practice PC
Provider Entity Type
Organization
Address
22 N Franklin Blvd, 2ND Floor, Pleasantville, NJ 08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Jon M. Regis, MD · President · 609-272-0655
Provider Enumeration Date
June 7, 2006
Last Update Date
August 30, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 N Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547
Zip
08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317
Pleasantville, NJ 08232Get directions →

Provider Business Mailing Address Details

Address
22 North Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547
City
Pleasantville
State
NJ
Zip
08232-2547
Phone Number
609-272-0655
Fax Number
609-272-9317

License Information

Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Taxonomy (2)
Specialist · 174400000X · 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 Broadway Family Practice PC?

The NPI number of Broadway Family Practice PC is 1780624031. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Broadway Family Practice PC?

Broadway Family Practice PC is registered under the primary taxonomy Specialist (code 174400000X).

Where does Broadway Family Practice PC practice?

The practice location is 22 N Franklin Blvd, 2ND Floor, Pleasantville, NJ 08232-2547. The office can be reached at 609-272-0655 (phone) or 609-272-9317 (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 1780624031 directly on the NPPES registry website.

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