BROADWAY FAMILY PRACTICE, PC (NPI# 1255775821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255775821 |
| Entity Type | Organization |
| Organization Name | BROADWAY FAMILY PRACTICE, PC |
| Practice Address |
22 N Franklin Blvd 2nd Floor Pleasantville NJ 08232-2547 |
| Practice Telephone | 6092720655 |
| Practice Fax Number | 6092729317 |
| Mailing Telephone | 6092720655 |
| Mailing Fax Number | 6092729317 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | JON M REGIS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6092720655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0329282 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891880217 | Broadway Family Practice, PC | Family Medicine | 12515 Timberway, Broadway, VA 22815 | 2006-10-03 |
| Street Address |
22 N FRANKLIN BLVD 2ND FLOOR |
| City | PLEASANTVILLE |
| State | NJ |
| Zip Code | 08232-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629041850 | Enza P Caputo | Pediatrics | 22 N Franklin Blvd, 1st Floor, Pleasantville, NJ 08232-2547 | 2006-02-08 |
| 1962952572 | Barbara Arnold | Nurse Practitioner | 22 N Franklin Blvd, Pleasantville, NJ 08232-2547 | 2016-10-06 |
| 1801110499 | Egidio Migioia | Nurse Practitioner | 22 N Franklin Blvd, Pleasantville, NJ 08232-2547 | 2010-03-25 |
| 1295994853 | Jacob Franklin Cogen | Family Medicine | 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547 | 2008-06-08 |
| 1629124136 | Els Sincebaugh | Physician Assistant | 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547 | 2007-01-26 |
| 1861555294 | Reliance Medical Group LLC | Specialist | 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547 | 2006-12-18 |
| 1528078797 | Laura J Bonaker | Pediatrics | 22 N Franklin Blvd, 1st Floor, Pleasantville, NJ 08232-2547 | 2006-08-09 |
| 1780624031 | Broadway Family Practice PC | Podiatrist | 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538533088 | Caringhouse Projects, Inc | Respite Care | 411b West Delilah Road, Pleasantville, NJ 08232 | 2015-11-20 |
| 1295108249 | Caringhouse Projects, Inc | Respite Care | 700 Franklin Blvd, Apt 601, Pleasantville, NJ 08232 | 2015-11-12 |
| 1205209251 | Caringhouse Projects, Inc | Respite Care | 411a West Delilah Road, Pleasantville, NJ 08232 | 2015-11-12 |
| 1215368568 | Priority Care Transport LLC | Non-emergency Medical Transport (VAN) | 590 W. Delilah Rd, Pleasantville, NJ 08232 | 2013-12-11 |
| 1053601773 | Bhavesh C Bhatt | Pharmacist | 855 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2011-04-14 |
| 1407158694 | Tricare Medical Transportation, LLC | Ambulance | 825 Noahs Road, Pleasantville, NJ 08232 | 2010-11-22 |
| 1174833495 | Laverne Graves-washington | Registered Nurse | 268 North New Rd., Pleasantville, NJ 08232 | 2010-10-20 |
| 1619284429 | Bhakti Chaudhari | Pharmacist | 855-857 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2010-09-01 |
| 1013222546 | Pradip N Agrawal | Pharmacist | 505 Black Horse Pike, Pleasantville, NJ 08232 | 2010-08-09 |
| 1144533845 | Arnold Snyder | Pharmacist | 505 Blackhorse Pk, Pleasantville, NJ 08232 | 2010-07-22 |
| Find all providers in zip 08232 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765679 | Gary Hymes | Podiatrist | 214 S Main St, Pleasantville, NJ 08232 | 2005-07-29 |
| 1902074180 | Gary S. Hymes, Dpm | Podiatrist | 214 S Main St, Pleasantville, NJ 08232-3028 | 2008-02-11 |
| 1912184243 | Gary Hymes Dpm | Podiatrist | 214 S Main St, Pleasantville, NJ 08232 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1407461387 | Quality Foot and Ankle Center | Podiatrist | 87 Bruswick Wood Dr, East Brunswick, NJ 08816-5601 | 2020-09-09 |
| 1992323844 | Ventnor Wellness | Podiatrist | 6601 Ventnor Ave # Troy12, Ventnor City, NJ 08406-2167 | 2020-07-08 |
| 1891310967 | Kathryn Stoedter Dpm LLC | Podiatrist | 69 Haddonfield Berlin Rd, Cherry Hill, NJ 08034-3572 | 2020-06-14 |
| 1316560576 | Quality Foot Care Center LLC | Podiatrist | 25 Clyde Rd Ste 101, Somerset, NJ 08873-5038 | 2020-05-22 |
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1902437643 | Harsh Patel Dpm Pa | Podiatrist | 4991 Route 42 Ste 8a, Turnersville, NJ 08012-1750 | 2020-01-31 |
| 1619508355 | Harsh Patel Dpm Pa | Podiatrist | 1529 Route 206 Ste L-1, Tabernacle, NJ 08088-8801 | 2020-01-31 |
| 1154980944 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 2477 Hwy 516 Ste 101, Old Bridge, NJ 08857-4603 | 2019-06-06 |
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTVILLE |
| Zip Code | 08232 |
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| 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.