BROADWAY PEDIATRICS M.D.P.C.


Address: 4250 Broadway, Suite 1c, New York, NY 10033-3748
Phone: 2127403900

BROADWAY PEDIATRICS M.D.P.C. (NPI# 1891903837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891903837
Entity Type Organization
Organization Name BROADWAY PEDIATRICS M.D.P.C.
Practice Address 4250 Broadway
Suite 1c
New York
NY 10033-3748
Practice Telephone 2127403900
Practice Fax Number 2127408232
Mailing Telephone 2127403900
Mailing Fax Number 2127408232
Enumeration Date 2007-05-21
Last Update Date 2011-07-07
Authorized Official Name DR. JOSE PEREZ (PRESIDENT)
Authorized Official Telephone 2127403900
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080H0002X Pediatrics
Specialization: Hospice and Palliative Medicine
NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01620699 05

Office Location

Street Address 4250 BROADWAY
SUITE 1C
City NEW YORK
State NY
Zip Code 10033-3748

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1710291620 Moshe Aaron Glick Dentist 4250 Broadway, Suite 5w, New York, NY 10033-3748 2010-08-03
1932370806 Igdental,p.c. Dentist 4250 Broadway, Suite 5 W, New York, NY 10033-3748 2008-03-18
1013196591 Ann Marie Martin Pediatrics 4250 Broadway, Ste. 1c, New York, NY 10033-3748 2007-10-31
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Taxonomy Information

Taxonomy Code 2080H0002X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942411475 Nurit Margulies Pediatrics 170 E 87th St Apt W16b, New York, NY 10128-2240 2007-05-25
1902027105 Eva Botstein Griepp Pediatrics 860 United Nations Plz, Apt 11f, New York, NY 10017-1810 2007-05-02
1164633608 Nesrin Bingol Pediatrics 110 E End Ave, New York, NY 10028-7412 2007-05-25
1003037771 Robert Michael Lembo Pediatrics 462 1st Ave, New York, NY 10016-9196 2007-05-01
1609091909 Julissa Baez Pediatrics 232 E 12th St, Unit 1g, New York, NY 10003-9151 2007-04-13
1427133933 Kyaw Tun Pediatrics 63 Catherine St, New York, NY 10038 2006-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306048301 Pauline B Heslop Pediatrics 4139 Wickham Ave, Ground Floor, Bronx, NY 10466-2039 2007-06-01
1255546362 Edgar Yap Ednalino Pediatrics 570 Fulton St, Brooklyn, NY 11217-1103 2007-05-11
1548475627 Fritz Saint-louis Pediatrics 11723 238th St, Elmont, NY 11003-3930 2007-05-11
1639396179 Richard Rieger Pediatrics 160 Oxford Blvd, Garden City, NY 11530-1408 2007-04-19
1053537498 Jerome None Strachman Pediatrics 27 Southern Rd, Hartsdale, NY 10530-2127 2007-04-17
1114489176 Pediatric Group Univ of Rochester Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 2019-04-01
1649485152 Marie Nicole Cadet Pediatrics 412 Linden Blvd, Brooklyn, NY 11203-2818 2007-05-10
1659584225 Aurey J Sheehy Pediatrics 175 Tarrytown Rd, White Plains, NY 10607-1607 2007-05-08
1033321807 Harold Miller Phillips Pediatrics 238 Arsenal St, Watertown, NY 13601-2504 2007-05-04
1396967568 Nassau Pediatric Assoc. PC Pediatrics 380 Dogwood Ave, Franklin Square, NY 11010-3447 2007-05-03
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Competitor

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City NEW YORK
Zip Code 10033

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Dataset Information

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.

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