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BROADWAY MEDICAL GROUP, LLC
NPI 1649466061
Internal Medicine in North Haven, CT

Active since September 19, 2007CLIA 07D0966096 · Waiver
2 BROADWAY, SUITE 10, NORTH HAVEN, CT 06473(203) 234-6500(203) 234-6503 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Broadway Medical Group, Llc NPPES

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

BROADWAY MEDICAL GROUP, LLC (NPI 1649466061) is a healthcare organization registered as an internal medicine in North Haven, Connecticut and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Lorenzo Galante, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1649466061
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROADWAY MEDICAL GROUP, LLC
Location Address2 BROADWAY, SUITE 10North Haven, CT 06473-2362
Mailing Address2 Broadway, Suite 10North Haven, CT 06473-2362 · (203) 234-6500 · Fax (203) 234-6503
Phone(203) 234-6500
Fax(203) 234-6503
Organization SubpartNo
Authorized OfficialLorenzo GalantePhysician Owner · (203) 234-6500
Enumeration DateSeptember 19, 2007
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1649466061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2 BROADWAY, North Haven, CT 06473
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Group, Llc 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 Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Lorenzo Galante, MD
Internal Medicine
NPI 1023180726
2 BROADWAY
North Haven, CT 06473
(203) 234-6500
✔ PECOS✔ Accepts Medicare0.3 mi
Yasmeen Alsaqri, APRN
Nurse Practitioner
NPI 1366153785
160 HAZARD AVE
Enfield, CT 06082
(860) 253-5330
✔ PECOS✔ Accepts Medicare44 mi

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 07D0966096

Broadway Medical Group LLC · North Haven, CT
Active · expires Oct 6, 2027
CLIA Number07D0966096
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorLorenzo S. Galante
Laboratory Phone(203) 234-6500
Laboratory LocationBroadway Medical Group LLC2 Broadway, North Haven, CT 06473
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 Group, LLC's NPI number?

The NPI number for Broadway Medical Group, LLC is 1649466061. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Broadway Medical Group, LLC located?

Broadway Medical Group, LLC is located at 2 Broadway Suite 10, North Haven, CT 06473. The listed phone number is (203) 234-6500.

What is Broadway Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Broadway Medical Group, LLC enrolled in Medicare?

Yes. Broadway Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Broadway Medical Group, LLC, in Internal Medicine 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Broadway Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0966096) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broadway Medical Group, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Broadway Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadway Medical Group, LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.