BROADWAY FAMILY PRACTICE, PC
NPI 1255775821
Podiatrist in Pleasantville, NJ

Active since April 25, 2013
22 N FRANKLIN BLVD, 2ND FLOOR, PLEASANTVILLE, NJ 08232(609) 272-0655(609) 272-9317 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Broadway Family Practice, Pc NPPES

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

BROADWAY FAMILY PRACTICE, PC (NPI 1255775821) is a healthcare organization registered as a podiatrist in Pleasantville, New Jersey and active in the NPI registry since April 2013. The organization lists Jon M Regis, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1255775821
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBROADWAY FAMILY PRACTICE, PC
Location Address22 N FRANKLIN BLVD, 2ND FLOORPleasantville, NJ 08232-2547
Mailing Address22 N Franklin Blvd, 2nd FloorPleasantville, NJ 08232-2547 · (609) 272-0655 · Fax (609) 272-9317
Fax(609) 272-9317
Organization SubpartNo
Authorized OfficialJon M RegisOwner/president · (609) 272-0655
Enumeration DateApril 25, 2013
✔ NPI 1255775821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
22 N FRANKLIN BLVD, Pleasantville, NJ 08232

Other Identifiers 2

Medicaid0329282NJ
Medicare PIN064778NJ

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 6

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

Family Medicine
22 N FRANKLIN BLVD, 2ND FLOOR
PLEASANTVILLE, NJ 08232
Pediatrics
22 N FRANKLIN BLVD, 1ST FLOOR
PLEASANTVILLE, NJ 08232
Pediatrics
22 N FRANKLIN BLVD, 1ST FLOOR
PLEASANTVILLE, NJ 08232
Specialist
22 N FRANKLIN BLVD, 2ND FLOOR
PLEASANTVILLE, NJ 08232
Nurse Practitioner (Family)
22 N FRANKLIN BLVD
PLEASANTVILLE, NJ 08232
Nurse Practitioner (Family)
22 N FRANKLIN BLVD
PLEASANTVILLE, NJ 08232

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 Family Practice, PC's NPI number?

The NPI number for Broadway Family Practice, PC is 1255775821. It was assigned to this organization in the NPPES registry on April 25, 2013.

Where is Broadway Family Practice, PC located?

Broadway Family Practice, PC is located at 22 N Franklin Blvd 2nd Floor, Pleasantville, NJ 08232. The listed phone number is (609) 272-0655.

What is Broadway Family Practice, PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Broadway Family Practice, PC was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.