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BROADWAY MEDICAL SERVICES PC
NPI 1083853360
Specialist in Yonkers, NY

Active since February 11, 2009CLIA 33D2008084 · Waiver
75 S BROADWAY, YONKERS, NY 10701(914) 376-7767(914) 376-7106 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Broadway Medical Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY MEDICAL SERVICES PC (NPI 1083853360) is a healthcare organization registered as a specialist in Yonkers, New York and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Richard Khalil, Owner, as its authorized official.

NPPES Registry Identity

NPI1083853360
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBROADWAY MEDICAL SERVICES PC
Location Address75 S BROADWAYYonkers, NY 10701-4004
Mailing AddressPo Box 740Yonkers, NY 10703-0740 · (914) 376-7767 · Fax (914) 376-7106
Phone(914) 376-7767
Fax(914) 376-7106
Organization SubpartNo
Authorized OfficialRichard KhalilOwner · (914) 376-7767
Enumeration DateFebruary 11, 2009
Last NPPES UpdateJanuary 2, 2019
✔ NPI 1083853360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
75 S BROADWAY, Yonkers, NY 10701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadway Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Broadway Medical Services PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Norma Davis, NP
Nurse Practitioner
NPI 1538570619
75 S BROADWAY
Yonkers, NY 10701
(914) 376-7767
✔ PECOS✔ Accepts MedicareSame address
Richard Khalil, M.D.
Family Practice
NPI 1912011107
75 S BROADWAY FL 1
Yonkers, NY 10701
(914) 376-7767
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2008084

Broadway Medical Services, PC · Yonkers, NY
Active · expires Jun 2, 2028
CLIA Number33D2008084
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorDr. Richard Khalil
Laboratory Phone(914) 376-7767
Laboratory LocationBroadway Medical Services, PC75 South Broadway, Yonkers, NY 10701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Medical Services PC's NPI number?

The NPI number for Broadway Medical Services PC is 1083853360. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is Broadway Medical Services PC located?

Broadway Medical Services PC is located at 75 S Broadway, Yonkers, NY 10701. The listed phone number is (914) 376-7767.

What is Broadway Medical Services PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Broadway Medical Services PC enrolled in Medicare?

Yes. Broadway Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Broadway Medical Services PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Broadway Medical Services PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2008084) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broadway Medical Services PC was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.