BROADWAY FAMILY PRACTICE PC
NPI 1780624031
Specialist in Pleasantville, NJ

Active since June 07, 2006
22 N FRANKLIN BLVD, 2ND FLOOR, PLEASANTVILLE, NJ 08232(609) 272-0655(609) 272-9317 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 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 1780624031) is a healthcare organization registered as a specialist in Pleasantville, New Jersey and active in the NPI registry since June 2006. The organization lists Jon M. Regis, President, as its authorized official.

NPPES Registry Identity

NPI1780624031
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBROADWAY FAMILY PRACTICE PC
Location Address22 N FRANKLIN BLVD, 2ND FLOORPleasantville, NJ 08232-2547
Mailing Address22 North Franklin Blvd, 2nd FloorPleasantville, NJ 08232-2547 · (609) 272-0655 · Fax (609) 272-9317
Fax(609) 272-9317
Organization SubpartNo
Authorized OfficialJon M. RegisPresident · (609) 272-0655
Enumeration DateJune 7, 2006
Last NPPES UpdateAugust 30, 2013
NPI 1780624031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
22 N FRANKLIN BLVD, Pleasantville, NJ 08232

Other Identifiers 2

Medicare ID-Type Unspecified064778NJ
Medicaid5569605NJ

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 6

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

Podiatrist
22 N FRANKLIN BLVD, 2ND FLOOR
PLEASANTVILLE, NJ 08232
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
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 1780624031. It was assigned to this organization in the NPPES registry on June 7, 2006.

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 Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Broadway Family Practice PC was last updated on August 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.