BROADWAY MEDICAL CARE, P.C. (NPI# 1659898443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659898443 |
| Entity Type | Organization |
| Organization Name | BROADWAY MEDICAL CARE, P.C. |
| Practice Address |
4117 Judge St Fl 1 Elmhurst NY 11373-2343 |
| Mailing Address |
4114 Judge St Fl 1 Elmhurst NY 11373-2344 |
| Practice Telephone | 7174243131 |
| Practice Fax Number | 7186066783 |
| Mailing Telephone | 7184243131 |
| Mailing Fax Number | 7186068783 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Authorized Official Name | DILRUBA RASHIDUN NABI (PRESIDENT) |
| Authorized Official Telephone | 9172042067 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
NABI205570 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01843681 | 05 |
| Street Address |
4117 JUDGE ST FL 1 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1265491823 | Luis E Cespedes | Internal Medicine | 183 N Addison Ave, Elmhurst, IL 60126-2748 | 2006-03-22 |
| 1568979482 | Megi Dinova | Internal Medicine | 79-01 Broadway, Room C7-10, Elmhurst, NY 11373 | 2017-12-30 |
| 1104056407 | Mount Sinai School of Medicine | Internal Medicine | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2009-07-21 |
| 1689819971 | Mount Sinai School of Medicine | Internal Medicine | 7901 Broadway, Elmhurst, NY 11373-1329 | 2008-12-16 |
| 1306938576 | Ellena A Linden | Internal Medicine | 7901 Broadway, C7-10, Elmhurst, NY 11373-1329 | 2006-09-28 |
| 1376646828 | Roshan Sher Ali | Internal Medicine | 133 E. Brush Hill Rd, #310, Elmhurst, IL 60126 | 2006-09-07 |
| 1104867340 | Aaron Saul Stern | Internal Medicine | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2006-06-09 |
| 1790726818 | Nina J. Caplin | Internal Medicine | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2006-06-09 |
| 1225079445 | Aaron Spital | Internal Medicine | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2006-06-09 |
| Find all providers in ELMHURST | ||||
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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.