BROAD STREET WELLNESS CENTER
NPI 1235371576
General Practice in Clifton, NJ

Active since April 01, 2009
642 BROAD ST, 2ND FL; STE 9, CLIFTON, NJ 07013(973) 614-9500 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broad Street Wellness Center NPPES

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

BROAD STREET WELLNESS CENTER (NPI 1235371576) is a healthcare organization registered as a general practice in Clifton, New Jersey and active in the NPI registry since April 2009. The organization lists Marina Belozersky, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235371576
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBROAD STREET WELLNESS CENTER
Location Address642 BROAD ST, 2ND FL; STE 9Clifton, NJ 07013-1615
Mailing AddressPo Box 476Roseland, NJ 07068-0476
Organization SubpartNo
Authorized OfficialMarina BelozerskyOffice Manager · (973) 614-9500
Enumeration DateApril 1, 2009
Last NPPES UpdateJune 17, 2009
NPI 1235371576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
642 BROAD ST, Clifton, NJ 07013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
642 BROAD ST
CLIFTON, NJ 07013
Social Worker (Clinical)
642 BROAD ST, STE #3
CLIFTON, NJ 07013
Orthopaedic Surgery
642 BROAD ST, STE 4
CLIFTON, NJ 07013
Internal Medicine (Infectious Disease)
642 BROAD ST
CLIFTON, NJ 07013
Social Worker (Clinical)
642 BROAD ST, STE #3
CLIFTON, NJ 07013
Clinic/Center (Mental Health (Including Community Mental Health Center))
642 BROAD ST, STE #3
CLIFTON, NJ 07013
Psychologist (Clinical)
642 BROAD ST
CLIFTON, NJ 07013
Chiropractor
642 BROAD ST, 2ND FL; SUITE 9
CLIFTON, NJ 07013

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 Broad Street Wellness Center's NPI number?

The NPI number for Broad Street Wellness Center is 1235371576. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Broad Street Wellness Center located?

Broad Street Wellness Center is located at 642 Broad St 2nd Fl; Ste 9, Clifton, NJ 07013. The listed phone number is (973) 614-9500.

What is Broad Street Wellness Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Broad Street Wellness Center was last updated on June 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.