BROADWAY INTERNAL MEDICINE PC NPI 1992820435

NPI Information

  • NPI: 1992820435
  • Provider Name: BROADWAY INTERNAL MEDICINE PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 680 BROADWAY
    5TH FLOOR SUITE # 502
    PATERSON, NJ
    ZIP 07514
  • Phone: (973) 278-2877

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NPI Details

BROADWAY INTERNAL MEDICINE PC is an internal medicine in Paterson, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BROADWAY INTERNAL MEDICINE PC NPI is 1992820435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

680 BROADWAY
5TH FLOOR SUITE # 502
PATERSON, NJ
ZIP 07514-524
Phone: (973) 278-2877

The provider's authorized official is Esrel A Avila .
The authorized official title is Medical Direcxtor and has the following contact phone number (973) 278-3254.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 4/28/2014.

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
1207R00000XInternal Medicine25MA42261NEW JERSEYYes

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
1075873MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
21109502MEDICAIDNEW 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: 11/21/2025

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