BROAD STREET WELLNESS CENTER (NPI# 1235371576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235371576 |
| Entity Type | Organization |
| Organization Name | BROAD STREET WELLNESS CENTER |
| Practice Address |
642 Broad St 2nd Fl; Ste 9 Clifton NJ 07013-1615 |
| Mailing Address |
Po Box 476 Roseland NJ 07068-0476 |
| Practice Telephone | 9736149500 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MARINA BELOZERSKY (OFFICE MANAGER) |
| Authorized Official Telephone | 9736149500 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
642 BROAD ST 2ND FL; STE 9 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971676 | Grace Melendez | Internal Medicine | 642 Broad St, 2nd Floor, Ste 9, Clifton, NJ 07013-1615 | 2005-09-07 |
| 1942518063 | Jeffrey F. Lakin Md Pa | Orthopaedic Surgery | 642 Broad St, Clifton, NJ 07013-1615 | 2010-09-23 |
| 1407060353 | Counseling Centers Inc | Clinic/Center | 642 Broad St, Ste #3, Clifton, NJ 07013 | 2007-05-10 |
| 1316062839 | Alicia Anne Klapper | Social Worker | 642 Broad St, Ste #3, Clifton, NJ 07013 | 2007-03-21 |
| 1245355767 | Brian Michael Sobieski | Social Worker | 642 Broad St, Ste #3, Clifton, NJ 07013 | 2007-03-21 |
| 1821168139 | Gilan Miller-gertz | Social Worker | 642 Broad St, The Counseling Center, Clifton, NJ 07013-1615 | 2006-11-08 |
| 1891880019 | Tristate Medical Associates, PC | Family Medicine | 642 Broad St, 2nd Floor, Suite 9, Clifton, NJ 07013-1615 | 2006-10-04 |
| 1649282708 | Miriam Linder | Counselor | 642 Broad St, Suite 3, Clifton, NJ 07013-1615 | 2006-08-13 |
| 1265474852 | Jeffrey Fred Lakin | Orthopaedic Surgery | 642 Broad St, Ste 4, Clifton, NJ 07013 | 2006-06-11 |
| 1528015781 | Turov Chiropractic, P.C. | Chiropractor | 642 Broad St, 2nd Fl; Suite 9, Clifton, NJ 07013-1615 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891913141 | Raphael Osheroff, M.d, P.a. | General Practice | 385 Lakeview Ave, Clifton, NJ 07011-4035 | 2007-04-23 |
| 1235655077 | Pediatrics First LLC | General Practice | 716 Broad St, Clifton, NJ 07013-1645 | 2017-08-14 |
| 1598777112 | Jesse Mangone | General Practice | 1117 Us Highway 46, Suite 202, Clifton, NJ 07013-2449 | 2006-08-12 |
| 1073525614 | Whitney Medical, Associates, P.a. | General Practice | 1117 Us Highway 46, Clifton, NJ 07013-2449 | 2006-08-12 |
| 1447223086 | Richard G Spitzer | General Practice | 201 S Avenue T, Clifton, TX 76634-1855 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406010 | Nurse Practitioner Affiliates LLC | General Practice | 1608 Route 88 Ste 301, Brick, NJ 08724-3009 | 2020-10-28 |
| 1609482926 | Hunterdon Primary Care PC | General Practice | 200 Route 31 Ste 105, Flemington, NJ 08822-5812 | 2020-09-22 |
| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1225659022 | Edmontz Alectus | General Practice | 43 Liberty St, West Orange, NJ 07052-5501 | 2020-05-03 |
| 1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROAD STREET WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.