Broadway Dental Associates, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROADWAY DENTAL ASSOCIATES, P.A.

Practice address

700 Broadway Ste 64
Westwood, NJ 07675-1674

Phone

(201) 666-1300

Fax

(201) 666-2055

NPI assigned

Sep 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ralph J Terrace, D.M.D.NPI 1164521886

Title

Pres

Phone

(201) 666-1300

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph J Terrace, D.M.D.

  • Dentist
  • Westwood, NJ
  • NPI 1164521886
  NPD (past) Authorized official
• Linda Diane Paulette De Luca, DDS

  • Dentist
  • Westwood, NJ
  • NPI 1144578048
  NPD (past)
• Daniel E Distasi, D.D.S.

  • Periodontics
  • Westwood, NJ
  • NPI 1104910942
  NPD (past)
• Alan A Zarafshar, DDS

  • Dentist
  • Westwood, NJ
  • NPI 1568553485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043316136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BROADWAY STE 64",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "201-666-1300",
            "fax_number": "201-666-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY STE 64",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "201-666-1300",
            "fax_number": "201-666-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRACE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "201-666-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie A Bovino, DMD
• Bray Orthotics and Prosthetics LLC
• Breast Fit
• Breast Rehabilitation & Healing Center
• Neal G Breit, M.D.
• Broadway Medical Supply Company Inc.
• Alice Bromberg, CPNP
• Mark Lewis Bromberg, DMD
• Renee Bross, MS, OTR
• Janet Browner, MSW, LCSW

• General Practice Dentistry in Westwood, NJ
• Providers in Westwood, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.