Broadway Family Practice Pc is a
Specialist based in Pleasantville, New Jersey. Broadway Family Practice Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
22 N Franklin Blvd, 2nd Floor, Pleasantville, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(609) 272-0655.
NPI number for Broadway Family Practice Pc is 1780624031 and their current mailing address is 22 North Franklin Blvd, 2nd Floor, Pleasantville, New Jersey. Broadway Family Practice Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1780624031.
Healthcare Provider's Profile
| Full Name | Broadway Family Practice Pc |
|---|
| Type | Facility |
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| Speciality | Specialist |
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| Location | 22 N Franklin Blvd, Pleasantville, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780624031
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 08/30/2013
Medical Identifiers
Medical identifiers for Broadway Family Practice Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780624031 | NPI | - | NPPES |
| 5569605 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Broadway Family Practice Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Broadway Family Practice Pc
22 North Franklin Blvd, 2nd Floor,
Pleasantville, NJ 08232-2547
Ph: (609) 272-0655 | Broadway Family Practice Pc
22 N Franklin Blvd, 2nd Floor,
Pleasantville, NJ 08232-2547
Ph: (609) 272-0655 |
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