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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BROADWAY MEDICAL GROUP PC
NPI 1144149592
Family Medicine in Passaic, NJ

Active since July 10, 2026
98 BROADWAY, PASSAIC, NJ 07055(929) 633-0990 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Medical Group Pc NPPES

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

BROADWAY MEDICAL GROUP PC (NPI 1144149592) is a healthcare organization registered as a family medicine in Passaic, New Jersey and active in the NPI registry since July 2026. The organization lists Juan Ruddy Fondeur Soni, President, as its authorized official.

NPPES Registry Identity

NPI1144149592
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADWAY MEDICAL GROUP PC
Location Address98 BROADWAYPassaic, NJ 07055-3903
Mailing Address16 Bernice StEdison, NJ 08820-1727 · (929) 633-0990
Phone(929) 633-0990
Organization SubpartNo
Authorized OfficialJuan Ruddy Fondeur SoniPresident · (929) 633-0990
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1144149592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
98 BROADWAY, Passaic, NJ 07055
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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

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 Group PC's NPI number?

The NPI number for Broadway Medical Group PC is 1144149592. It was assigned to this organization in the NPPES registry on July 10, 2026.

Where is Broadway Medical Group PC located?

Broadway Medical Group PC is located at 98 Broadway, Passaic, NJ 07055. The listed phone number is (929) 633-0990.

What is Broadway Medical Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Broadway Medical Group PC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.