BROADWAY INTERNAL MEDICINE ASSOCIATES P.C.
NPI 1952446189
Internal Medicine in Massapequa, NY

Q: What is Broadway Internal Medicine Associates P.C.'s specialty?

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

Active since February 21, 2007

585 BROADWAY, MASSAPEQUA, NY 11758(516) 797-1234(516) 797-0190 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Broadway Internal Medicine Associates P.c. NPPES

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

BROADWAY INTERNAL MEDICINE ASSOCIATES P.C. (NPI 1952446189) is a healthcare organization registered as an internal medicine in Massapequa, New York and active in the NPI registry since February 2007. The organization lists Charles K Miceli, Pres, as its authorized official.

NPPES Registry Identity

NPI1952446189

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBROADWAY INTERNAL MEDICINE ASSOCIATES P.C.

Location Address585 BROADWAYMassapequa, NY 11758

Mailing Address585 BroadwayMassapequa, NY 11758 · (516) 797-1234 · Fax (516) 797-0190

Phone(516) 797-1234

Fax(516) 797-0190

Organization SubpartNo

Authorized OfficialCharles K MiceliPres · (516) 797-1234

Enumeration DateFebruary 21, 2007

Last NPPES UpdateSeptember 26, 2007

✔ NPI 1952446189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

585 BROADWAY, Massapequa, NY 11758

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Other Identifiers 1

Medicare UPINB73321OK

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

Other Providers at the Same Location NPPES 11

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

CSR OUTPATIENT MEDICAL SERVICES, LLC

Clinic/Center (Ambulatory Surgical)