BROADWAY PEDIATRIC ASSOCIATES PA NPI 1366502189

NPI Information

  • NPI: 1366502189
  • Provider Name: BROADWAY PEDIATRIC ASSOCIATES, PA
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 31D0693003
  • Address: 336 CENTER AVE
    WESTWOOD, NJ
    ZIP 07675
  • Phone: (201) 664-7444

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NPI Details

BROADWAY PEDIATRIC ASSOCIATES, PA is an adolescent medicine pediatrics in Westwood, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BROADWAY PEDIATRIC ASSOCIATES, PA NPI is 1366502189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

336 CENTER AVE
WESTWOOD, NJ
ZIP 07675-702
Phone: (201) 664-7444
Fax: (201) 664-8610

The provider's authorized official is Daniel I Schwartz .
The authorized official title is Partner and has the following contact phone number (201) 664-7444.

The CLIA number assigned to this NPI record is 31D0693003 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13277801MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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