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BROAD STREET MEDICAL, INC
NPI 1881049377
Pain Medicine - Pain Medicine in Newark, NJ

Active since May 03, 2016
1186 RAYMOND BLVD, 2ND FLOOR, NEWARK, NJ 07102(862) 754-8233 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broad Street Medical, Inc NPPES

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

BROAD STREET MEDICAL, INC (NPI 1881049377) is a healthcare organization registered as a pain medicine in Newark, New Jersey and active in the NPI registry since May 2016. The organization lists Amrish Patel, Md, as its authorized official.

NPPES Registry Identity

NPI1881049377
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameBROAD STREET MEDICAL, INC
Location Address1186 RAYMOND BLVD, 2ND FLOORNewark, NJ 07102-4108
Mailing Address1186 Raymond Blvd, 2nd FloorNewark, NJ 07102-4108 · (862) 754-8233
Phone(862) 754-8233
Organization SubpartNo
Authorized OfficialAmrish PatelMd · (862) 754-8233
Enumeration DateMay 3, 2016
✔ NPI 1881049377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedChiropractorTaxonomy 111N00000X
1186 RAYMOND BLVD, Newark, NJ 07102
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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

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 Broad Street Medical, Inc's NPI number?

The NPI number for Broad Street Medical, Inc is 1881049377. It was assigned to this organization in the NPPES registry on May 3, 2016.

Where is Broad Street Medical, Inc located?

Broad Street Medical, Inc is located at 1186 Raymond Blvd 2nd Floor, Newark, NJ 07102. The listed phone number is (862) 754-8233.

What is Broad Street Medical, Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

When was this NPI record last updated?

The NPPES record for Broad Street Medical, Inc was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.