MS. NANCY BRODERICK (NPI# 1811477995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811477995 |
| Entity Type | Individual |
| Full Name | MS. NANCY BRODERICK |
| Credential | LMT |
| Practice Address |
74 Pascack Rd Ste 5 Park Ridge NJ 07656-1941 |
| Mailing Address |
22 Montvale Ave Montvale NJ 07645-1425 |
| Practice Telephone | 2013231218 |
| Mailing Telephone | 2013231218 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18KT01129500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Montvale Ave, Montvale, NJ 076451425 | 2013231218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851536007 | Nancy Broderick | Nurse Practitioner | 10240 Park Meadows Drive, Lone Tree, CO 80124-5425 | 2008-12-02 |
| Street Address |
74 PASCACK RD STE 5 |
| City | PARK RIDGE |
| State | NJ |
| Zip Code | 07656-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
| 1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
| 1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
| 1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
| 1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
| 1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
| 1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
| 1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
| 1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
| 1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
| Find all providers in zip 07656 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841768751 | Jacek Adam Kubicki | Massage Therapist | 1126 N Northwest Hwy, Park Ridge, IL 60068-1665 | 2018-11-08 |
| 1346600814 | Triessa Desimone | Massage Therapist | 101 Lawn St, Park Ridge, NJ 07656-1119 | 2016-02-26 |
| 1346667839 | Nimfa Andrade | Massage Therapist | 1600 W Dempster St, Suite 106, Park Ridge, IL 60068-1109 | 2014-03-24 |
| 1669718441 | Kelly Ann Kawczynski | Massage Therapist | 1420 N Northwest Hwy, Suite 411, Park Ridge, IL 60068-1310 | 2012-12-22 |
| 1982939963 | Geralyn Marie Balazs | Massage Therapist | 1416 Canfield Rd, Park Ridge, IL 60068-5536 | 2009-10-09 |
| 1427381045 | Diane M Williamson | Massage Therapist | 15 N Prospect Ave, Park Ridge, IL 60068-3563 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699562 | Nichole Elyse Echevarria | Massage Therapist | 184 Manhattan Ave, Teaneck, NJ 07666-6110 | 2020-11-07 |
| 1124629258 | Lisseth Fernandez | Massage Therapist | 87 E Spring Valley Ave, Maywood, NJ 07607-2122 | 2020-11-04 |
| 1316547052 | Prescott Veere Murphy Iv | Massage Therapist | 232 Longwood Dr, Manalapan, NJ 07726-3851 | 2020-10-30 |
| 1164022992 | Elise Warshavsky | Massage Therapist | 80 Pompton Ave Ste 304, Verona, NJ 07044-2913 | 2020-10-30 |
| 1841899556 | Mina Kwon | Massage Therapist | 191 Lakeview Ave, Leonia, NJ 07605-1541 | 2020-10-22 |
| 1174121016 | Paul Manzella | Massage Therapist | 18 Faner Rd, Midland Park, NJ 07432-1746 | 2020-10-13 |
| 1801494844 | Kelly Cannon | Massage Therapist | 83 Brokaw Blvd, Plainfield, NJ 07063-1067 | 2020-10-13 |
| 1659979896 | Maria Fernanda Zuniga | Massage Therapist | 612 Helena Ave, Cherry Hill, NJ 08002-2945 | 2020-10-10 |
| 1477150647 | Quienne White | Massage Therapist | 3150 Rte 22 Ste 6, Branchburg, NJ 08876-3595 | 2020-10-01 |
| 1124635545 | Michael Ciardulli Jr. | Massage Therapist | 174 Raab Ave, Bloomfield, NJ 07003-4521 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 07656 |
Please comment or provide details below to improve the information on MS. NANCY BRODERICK.
| 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.