Broad Street Medical, Inc

LBN: Broad Street Medical, Inc
Broad Street Medical, Inc is an health care organization with primary practice located at 1186 Raymond Blvd 2Nd Floor, Newark NJ 07102-4108. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Broad Street Medical, Inc can be contacted via phone (862) 754-8233, or through Patel, Amrish via phone (862) 754-8233.

Contact Information

Primary practice address
1186 Raymond Blvd 2Nd Floor Newark NJ 07102-4108
Phone: (862) 754-8233
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Amrish
Phone: (862) 754-8233

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1881049377
LBN Legal business name Broad Street Medical, Inc
DBA Doing business as
Authorized official Patel, Amrish
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2016
Last updated May 3rd, 2016 - about 8 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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