1. Home
  2. Directory
  3. New Jersey
  4. Elizabeth
  5. Dentist
  6. NPI Profile

BROADWAY ORAL SURGERY, LLC
NPI 1710703541
Dentist - General Practice in Elizabeth, NJ

Active since November 26, 2024
65 JEFFERSON AVE, FLOOR 2 SUITE A, ELIZABETH, NJ 07201(908) 677-5040 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Oral Surgery, Llc NPPES

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

BROADWAY ORAL SURGERY, LLC (NPI 1710703541) is a healthcare organization registered as a general practice in Elizabeth, New Jersey and active in the NPI registry since November 2024. The organization lists Michael Skolnick, Owner, as its authorized official.

NPPES Registry Identity

NPI1710703541
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY ORAL SURGERY, LLC
Location Address65 JEFFERSON AVE, FLOOR 2 SUITE AElizabeth, NJ 07201
Mailing Address65 Jefferson Ave, Floor 2 Suite AElizabeth, NJ 07201 · (908) 677-5040
Phone(908) 677-5040
Organization SubpartNo
Authorized OfficialMichael SkolnickOwner · (908) 469-9100
Enumeration DateNovember 26, 2024
✔ NPI 1710703541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
65 JEFFERSON AVE, Elizabeth, NJ 07201
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 16

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

HAN SHENG LEE
Dentist (Pediatric Dentistry)
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (190) 846-9910
NAHID AFRAZ CM
Advanced Practice Midwife
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (908) 994-5500
YAO GAO
Dentist (General Practice)
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (908) 469-9100
PREFERRED ULTRASOUND CENTER
Clinic/Center (Radiology)
65 JEFFERSON AVE, 2ND FLOOR
ELIZABETH, NJ 07201
Union County (908) 994-5402
SKOLNICK DENTAL ASSOCIATES SPEC LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (908) 469-9100
ALL QUALITY DENTAL LLP
Dentist (General Practice)
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (908) 527-8688
JOO HEE KANG DMD
Dentist (Pediatric Dentistry)
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (404) 397-9683
HONG-YAN CHIU DDS
Dentist
65 JEFFERSON AVE
ELIZABETH, NJ 07201
Union County (908) 469-9100

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 Oral Surgery, LLC's NPI number?

The NPI number for Broadway Oral Surgery, LLC is 1710703541. It was assigned to this organization in the NPPES registry on November 26, 2024.

Where is Broadway Oral Surgery, LLC located?

Broadway Oral Surgery, LLC is located at 65 Jefferson Ave Floor 2 Suite A, Elizabeth, NJ 07201. The listed phone number is (908) 677-5040.

What is Broadway Oral Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Broadway Oral Surgery, LLC was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.