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

BROADWAY ORAL SURGERY LLC
NPI 1912869199
Dentist - General Practice in Newark, NJ

Active since November 26, 2025
223 BLOOMFIELD AVE, SUITE 2, NEWARK, NJ 07104(973) 554-4565 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1912869199) is a healthcare organization registered as a general practice in Newark, New Jersey and active in the NPI registry since November 2025. The organization lists Michael Skolnick, Owner, as its authorized official.

NPPES Registry Identity

NPI1912869199
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADWAY ORAL SURGERY LLC
Location Address223 BLOOMFIELD AVE, SUITE 2Newark, NJ 07104
Mailing Address223 Bloomfield Ave, Suite 2Newark, NJ 07104 · (973) 554-4565
Phone(973) 554-4565
Organization SubpartNo
Authorized OfficialMichael SkolnickOwner · (908) 469-9100
Enumeration DateNovember 26, 2025
✔ NPI 1912869199 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
223 BLOOMFIELD AVE, Newark, NJ 07104
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 4

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

YOON WEON SUH
Dentist (Orthodontics and Dentofacial Orthopedics)
223 BLOOMFIELD AVE
NEWARK, NJ 07104
Essex County (973) 435-8100
BLOOMFIELD AVE DENTAL, LLC
Dentist
223 BLOOMFIELD AVE
NEWARK, NJ 07104
Essex County (973) 715-5963
RICKY YANG
Dentist
223 BLOOMFIELD AVE
NEWARK, NJ 07104
Essex County (973) 435-8100
EMY SEELEY
Nurse Practitioner (Pediatrics)
223 BLOOMFIELD AVE
NEWARK, NJ 07104
Essex County (973) 221-5849

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 1912869199. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Broadway Oral Surgery LLC located?

Broadway Oral Surgery LLC is located at 223 Bloomfield Ave Suite 2, Newark, NJ 07104. The listed phone number is (973) 554-4565.

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, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.