BROADWAY MEDICAL P.C. NPI 1932314515

NPI Information

  • NPI: 1932314515
  • Provider Name: BROADWAY MEDICAL P.C.
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 120 BROADWAY
    LYNBROOK, NY
    ZIP 11563
  • Phone: (516) 599-9355

Map and Directions

Get Directions

NPI Details

BROADWAY MEDICAL P.C. is a massage therapist in Lynbrook, NY. The provider is 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. BROADWAY MEDICAL P.C. NPI is 1932314515. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 BROADWAY
LYNBROOK, NY
ZIP 11563-233
Phone: (516) 599-9355
Fax: (516) 593-9355

The provider's authorized official is Joseph Vitoulis .
The authorized official title is Owner and has the following contact phone number (516) 599-9355.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 9/11/2025.

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
1111N00000XChiropractorX002413NEW YORKNo
2204D00000XNeuromusculoskeletal Medicine & OMM205528NEW YORKNo
3207Q00000XFamily Medicine205528NEW YORKNo
4225700000XMassage Therapist017855NEW YORKYes

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
101918905MEDICAIDNEW YORK

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI