BROAD STREET SURGICAL CENTER LLC NPI 1417972217

NPI Information

NPI: 1417972217
Provider Name: BROAD STREET SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1429 BROAD ST
CLIFTON, NJ
ZIP 07013
Phone: (732) 383-4150
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BROAD STREET SURGICAL CENTER, LLC is a multi-specialty clinic center in Clifton, NJ. BROAD STREET SURGICAL CENTER, LLC NPI is 1417972217. The provider is registered as an organization entity type.

The provider's business location address is:

1429 BROAD ST
CLIFTON, NJ
ZIP 07013-221
Phone: (732) 383-4150

The provider's authorized official is Kenneth Nesbihal .
The authorized official title is Business Manager and has the following contact phone number (732) 383-4150.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 11/14/2023

NPI Synchronization or Removal

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