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BROADWAY PEDIATRICS M.D.P.C.
NPI 1891903837
Pediatrics - Hospice and Palliative Medicine in New York, NY

Active since May 21, 2007CLIA 33D0934371 · Waiver
4250 BROADWAY, SUITE 1C, NEW YORK, NY 10033(212) 740-3900(212) 740-8232 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadway Pediatrics M.d.p.c. NPPES

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

BROADWAY PEDIATRICS M.D.P.C. (NPI 1891903837) is a healthcare organization registered as a hospice and palliative medicine in New York, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Jose Perez, President, as its authorized official.

NPPES Registry Identity

NPI1891903837
Entity TypeOrganization
Primary Taxonomy2080H0002X
Legal Business NameBROADWAY PEDIATRICS M.D.P.C.
Location Address4250 BROADWAY, SUITE 1CNew York, NY 10033-3748
Mailing Address4250 Broadway, Suite 1cNew York, NY 10033-3748 · (212) 740-3900 · Fax (212) 740-8232
Phone(212) 740-3900
Fax(212) 740-8232
Organization SubpartNo
Authorized OfficialJose PerezPresident · (212) 740-3900
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 7, 2011
✔ NPI 1891903837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080H0002X
Definition
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
4250 BROADWAY, New York, NY 10033
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Other Identifiers 1

Medicaid01620699NY

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

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 33D0934371

Broadway Pediatrics MD PC · New York, NY
Active · expires Oct 16, 2026
CLIA Number33D0934371
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDr. Jose F. Perez
Laboratory Phone(212) 740-3900
Laboratory LocationBroadway Pediatrics MD PC4250 Broadway, Suite 1 C, New York, NY 10033
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. ANN MARIE MARTIN MD
Pediatrics
4250 BROADWAY, STE. 1C
NEW YORK, NY 10033
New York County (212) 740-3900
S.H. & H.H. OPTICAL CORP.
Optometrist
4250 BROADWAY
NEW YORK, NY 10033
New York County (212) 795-5640
DR. SHARI LYNN HAUSMAN OD
Optometrist
4250 BROADWAY
NEW YORK, NY 10033
New York County (212) 795-5640
LENS LAB OPTICAL 181 INC
Optometrist
4250 BROADWAY
NEW YORK, NY 10033
New York County (212) 795-5640
SH & HH OPTICAL CORP
Eyewear Supplier
4250 BROADWAY
NEW YORK, NY 10033
New York County (212) 795-5640
DR. MOSHE AARON GLICK DDS
Dentist
4250 BROADWAY, SUITE 5W
NEW YORK, NY 10033
New York County (212) 795-0765
DR. MIGUEL ANGEL ALONSO D.D.S.
Dentist (General Practice)
4250 BROADWAY
NEW YORK, NY 10033
New York County (212) 795-0765
IGDENTAL,P.C.
Dentist
4250 BROADWAY, SUITE 5 W
NEW YORK, NY 10033
New York County (212) 795-0765

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 Pediatrics M.D.P.C.'s NPI number?

The NPI number for Broadway Pediatrics M.D.P.C. is 1891903837. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Broadway Pediatrics M.D.P.C. located?

Broadway Pediatrics M.D.P.C. is located at 4250 Broadway Suite 1C, New York, NY 10033. The listed phone number is (212) 740-3900.

What is Broadway Pediatrics M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Hospice and Palliative Medicine, with taxonomy code 2080H0002X.

Does Broadway Pediatrics M.D.P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0934371) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broadway Pediatrics M.D.P.C. was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.