Broad Street Medical, Inc is a
Pain Medicine - Pain Medicine based in Newark, New Jersey. Broad Street Medical, Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1186 Raymond Blvd, 2nd Floor, Newark, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(862) 754-8233.
NPI number for Broad Street Medical, Inc is 1881049377 and their current mailing address is 1186 Raymond Blvd, 2nd Floor, Newark, New Jersey. Broad Street Medical, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881049377.
Healthcare Provider's Profile
| Full Name | Broad Street Medical, Inc |
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| Type | Facility |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 1186 Raymond Blvd, Newark, 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: 1881049377
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 05/03/2016
Medical Identifiers
Medical identifiers for Broad Street Medical, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881049377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (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. Broad Street Medical, Inc 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 |
|---|
Broad Street Medical, Inc
1186 Raymond Blvd, 2nd Floor,
Newark, NJ 07102-4108
Ph: (862) 754-8233 | Broad Street Medical, Inc
1186 Raymond Blvd, 2nd Floor,
Newark, NJ 07102-4108
Ph: (862) 754-8233 |
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