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BROADWAY I MEDICINE PLLC
NPI 1740504240
Internal Medicine in New York, NY

Active since March 26, 2010
4250 BROADWAY RM 1A, NEW YORK, NY 10033(212) 740-7100(212) 740-8232 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Broadway I Medicine Pllc NPPES

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

BROADWAY I MEDICINE PLLC (NPI 1740504240) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since March 2010. The organization lists Jose F Perez, Physician, as its authorized official.

NPPES Registry Identity

NPI1740504240
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROADWAY I MEDICINE PLLC
Location Address4250 BROADWAY RM 1ANew York, NY 10033-3749
Mailing Address4250 Broadway Rm 1aNew York, NY 10033-3749 · (212) 740-7100 · Fax (212) 740-8232
Phone(212) 740-7100
Fax(212) 740-8232
Organization SubpartNo
Authorized OfficialJose F PerezPhysician · (212) 740-7100
Enumeration DateMarch 26, 2010
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1740504240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 254371
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.
4250 BROADWAY RM 1A, New York, NY 10033
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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

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 I Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Broadway I Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jose Perez, M.D.
Pediatric Medicine
NPI 1245255611
4250 BROADWAY RM 1C
New York, NY 10033
(212) 740-3900
✔ PECOSSame address
Maxwell Kissel, MD
Internal Medicine
NPI 1346982584
4250 BROADWAY RM 1A
New York, NY 10033
(212) 740-7100
✔ PECOSSame address
Paul Avvocato, MD
Internal Medicine
NPI 1760527931
1 GATEWAY PLZ 55 SOUTH MAIN STREER
Port Chester, NY 10573
(914) 481-8980
✔ PECOS18 mi
Mirza Morales-Diaz, M.D.
Family Practice
NPI 1568568723
412 DEVONIA ST ROANE MEDICAL CENTER
Harriman, TN 37748
(865) 985-7234
✔ PECOS668 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 I Medicine PLLC's NPI number?

The NPI number for Broadway I Medicine PLLC is 1740504240. It was assigned to this organization in the NPPES registry on March 26, 2010.

Where is Broadway I Medicine PLLC located?

Broadway I Medicine PLLC is located at 4250 Broadway Rm 1A, New York, NY 10033. The listed phone number is (212) 740-7100.

What is Broadway I Medicine PLLC's specialty?

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

Is Broadway I Medicine PLLC enrolled in Medicare?

Yes. Broadway I Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway I Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Broadway I Medicine PLLC, in Family Practice, Internal Medicine and Pediatric Medicine. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broadway I Medicine PLLC was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.