Broadway Oral Surgery LLC
Dentist, General Practice in Newark, New Jersey
1912869199- Practice location
- 223 Bloomfield Ave, Suite 2, Newark, NJ 07104
- Phone
- 973-554-4565
- Fax
- —
- Last updated
- November 26, 2025
Broadway Oral Surgery LLC is a healthcare organization based in Newark, NJ. Broadway Oral Surgery LLC practices in Newark, NJ. The NPI Number for Broadway Oral Surgery LLC is 1912869199. The current practice location address for Broadway Oral Surgery LLC is 223 Bloomfield Ave, Suite 2, Newark, NJ 07104 and can be reached out via phone at 973-554-4565.
Provider Profile Details
- NPI Number
- 1912869199
- Provider Name
- Broadway Oral Surgery LLC
- Provider Entity Type
- Organization
- Address
- 223 Bloomfield Ave, Suite 2, Newark, NJ 07104
- Phone Number
- 973-554-4565
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mr. Michael Skolnick, DMD · Owner · 908-469-9100
- Provider Enumeration Date
- November 26, 2025
- Last Update Date
- November 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 223 Bloomfield Ave
Suite 2
Newark, NJ 07104 - City
- Newark
- State
- New Jersey
- Zip
- 07104
- Phone Number
- 973-554-4565
Provider Business Mailing Address Details
- Address
- 223 Bloomfield Ave
Suite 2
Newark, NJ 07104 - City
- Newark
- State
- NJ
- Zip
- 07104
- Phone Number
- 973-554-4565
License Information
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (3)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (4)
- Dentist, General Practice · 1223G0001X · 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 Oral Surgery LLC?
The NPI number of Broadway Oral Surgery LLC is 1912869199. It was assigned on November 26, 2025 and is currently active in the NPPES registry.
What is the specialty of Broadway Oral Surgery LLC?
Broadway Oral Surgery LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Broadway Oral Surgery LLC practice?
The practice location is 223 Bloomfield Ave, Suite 2, Newark, NJ 07104. The office can be reached at 973-554-4565 (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 1912869199 directly on the NPPES registry website.