BROADWAY COMPREHENSIVE VEIN CENTER P.C. (NPI# 1992048466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992048466 |
| Entity Type | Organization |
| Organization Name | BROADWAY COMPREHENSIVE VEIN CENTER P.C. |
| Practice Address |
360 Springfield Ave Suite 302d Summit NJ 07901-4608 |
| Mailing Address |
171 Great Neck Rd Apt 3e Great Neck NY 11021-3302 |
| Practice Telephone | 9739696400 |
| Practice Fax Number | 6099495555 |
| Mailing Telephone | 9178172802 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | DR. DALLAS BROADWAY (PRESIDENT) |
| Authorized Official Telephone | 7322350147 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
25MA09187400 | NJ | Ambulatory Health Care Facilities |
| Street Address |
360 SPRINGFIELD AVE SUITE 302D |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342992 | Marc Mitnick | Podiatrist | 360 Springfield Ave, Summit, NJ 07901-4608 | 2005-08-04 |
| 1790103778 | Multi Mobile Imaging Inc | Clinic/Center | 360 Springfield Ave, Suite 302b, Summit, NJ 07901-4608 | 2014-04-07 |
| 1780002766 | Imaging Associates of New Jersey PC | Radiology | 360 Springfield Ave, Suite 302b, Summit, NJ 07901-4608 | 2014-04-07 |
| 1396163374 | Next Generation Diagnostic Imaging PC | Radiology | 360 Springfield Ave, Suite 302b, Summit, NJ 07901-4608 | 2014-04-07 |
| 1437592854 | Lindsey Kaufman Robertson | Social Worker | 360 Springfield Ave, Suite 301, Summit, NJ 07901-4608 | 2013-04-16 |
| 1063712420 | Meryl Pfeiffer | Counselor | 360 Springfield Ave, Suite 301, Summit, NJ 07901-4608 | 2010-11-01 |
| 1770731788 | Radiotis Counseling LLC | Community/Behavioral Health | 360 Springfield Ave, Suite 301, Summit, NJ 07901-4608 | 2008-09-03 |
| 1841477940 | Hilltop Family Dental | Dentist | 360 Springfield Ave, Suite 310, Summit, NJ 07901-4608 | 2008-01-31 |
| 1679605992 | John Warren Deschenes | Dentist | 360 Springfield Ave, Summit, NJ 07901-4608 | 2007-03-12 |
| 1346378718 | Michelle Rae Naber | Chiropractor | 360 Springfield Ave, Summit, NJ 07901-4608 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
| 1811060205 | Overlook Imaging At Springfield Avenue LLC | Clinic/Center | 1 Springfield Ave, Summit, NJ 07901-4055 | 2006-11-16 |
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| 1750762449 | Atrium Diagnostic Imaging LLC | Clinic/Center | 224 Taylors Mills Rd Ste 108, Manalapan, NJ 07726-3281 | 2015-06-18 |
| 1851734123 | Hds Medical Imaging LLC | Clinic/Center | 845 Newark Ave, Jersey City, NJ 07306-5194 | 2013-04-16 |
| 1720326119 | Advanced Imaging Center LLC | Clinic/Center | 400 Delancey St, Suite 108, Newark, NJ 07105-3846 | 2013-01-21 |
| 1043563679 | Pet/ct Center of New Jersey | Clinic/Center | 235 Franklin Ave, Nutley, NJ 07110-2708 | 2012-10-19 |
| 1679831671 | Eastern Diagnostic Services LLC | Clinic/Center | 1121 Inwood Ter, Fort Lee, NJ 07024-1623 | 2012-04-26 |
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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.