Sixty Seven Broadway Medical

LBN: Bart E. Maggio & Peter K. Finelli
Sixty Seven Broadway Medical is an health care organization with primary practice located at 67 Broadway , Elmwood Park NJ 07407-1836. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bart E. Maggio & Peter K. Finelli can be contacted via phone (201) 796-4444, or through Desane, Cynthia via phone (201) 796-4444.

Contact Information

Primary practice address
67 Broadway Elmwood Park NJ 07407-1836
Phone: (201) 796-4444
Fax: (201) 796-4034
Website:
Map and Directions
Authorized official contact:
Name: Desane, Cynthia
Phone: (201) 796-4444

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB018796 New Jersey

Profile Details

NPI number 1619188414
LBN Legal business name Bart E. Maggio & Peter K. Finelli
DBA Doing business as Sixty Seven Broadway Medical
Authorized official Desane, Cynthia
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619188414 NPPES
New Jersey MEDICAID 7062206

Popular Providers