Broadway Pediatrics M.D.P.C.

LBN: Broadway Pediatrics M.D.P.C.
Broadway Pediatrics M.D.P.C. is an health care organization with primary practice located at 4250 Broadway Suite 1C, New York NY 10033-3748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Broadway Pediatrics M.D.P.C. can be contacted via phone (212) 740-3900, or through Perez, Jose via phone (212) 740-3900.

Contact Information

Primary practice address
4250 Broadway Suite 1C New York NY 10033-3748
Phone: (212) 740-3900
Fax: (212) 740-8232
Website:
Map and Directions
Authorized official contact:
Name: Perez, Jose Doctor of Medicine (MD)
Phone: (212) 740-3900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X New York

Profile Details

NPI number 1891903837
LBN Legal business name Broadway Pediatrics M.D.P.C.
DBA Doing business as
Authorized official Perez, Jose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jul 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891903837 NPPES
New York MEDICAID 01620699

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