Broad Street Medical, INC
Healthcare Provider in Newark, New Jersey
1881049377- Practice location
- 1186 Raymond Blvd, 2ND Floor, Newark, NJ 07102-4108
- Phone
- 862-754-8233
- Fax
- —
- Last updated
- May 3, 2016
Broad Street Medical, INC is a healthcare organization based in Newark, NJ. Broad Street Medical, INC practices in Newark, NJ. The NPI Number for Broad Street Medical, INC is 1881049377. The current practice location address for Broad Street Medical, INC is 1186 Raymond Blvd, 2ND Floor, Newark, NJ 07102-4108 and can be reached out via phone at 862-754-8233.
Provider Profile Details
- NPI Number
- 1881049377
- Provider Name
- Broad Street Medical, INC
- Provider Entity Type
- Organization
- Address
- 1186 Raymond Blvd, 2ND Floor, Newark, NJ 07102-4108
- Phone Number
- 862-754-8233
- Primary Taxonomy
- Healthcare Provider · 208VP0000X
- Organization Subpart
- No
- Authorized Official
- Amrish Patel · MD · 862-754-8233
- Provider Enumeration Date
- May 3, 2016
- Last Update Date
- May 3, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1186 Raymond Blvd
2ND Floor
Newark, NJ 07102-4108 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4108
- Phone Number
- 862-754-8233
Provider Business Mailing Address Details
- Address
- 1186 Raymond Blvd
2ND Floor
Newark, NJ 07102-4108 - City
- Newark
- State
- NJ
- Zip
- 07102-4108
- Phone Number
- 862-754-8233
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
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 Medical, INC?
The NPI number of Broad Street Medical, INC is 1881049377. It was assigned on May 3, 2016 and is currently active in the NPPES registry.
What is the specialty of Broad Street Medical, INC?
Broad Street Medical, INC is registered under the primary taxonomy Healthcare Provider (code 208VP0000X).
Where does Broad Street Medical, INC practice?
The practice location is 1186 Raymond Blvd, 2ND Floor, Newark, NJ 07102-4108. The office can be reached at 862-754-8233 (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 1881049377 directly on the NPPES registry website.