Broadway Medical Services PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BROADWAY MEDICAL SERVICES PC

Practice address

75 S Broadway
Yonkers, NY 10701-4004

Phone

(914) 376-7767

Fax

(914) 376-7106

NPI assigned

Feb 11, 2009

Last updated

Jan 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Khalil, MDNPI 1912011107

Title

Owner

Phone

(914) 376-7767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Khalil, M.D.

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1912011107
  Medicare reassignment Care Compare group NPD Authorized official
• Norma V Davis, NP

  • Adult Health Nurse Practitioner
  • Yonkers, NY
  • NPI 1538570619
  Medicare reassignment Care Compare group NPD
• Keith Fratta, M.D.

  • General Practice Physician
  • Bronx, NY
  • NPI 1003881509
  NPD (past)
• Eleonora Gashi, DO

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1780825059
  NPD (past)
• Richard Iammatteo, M.D.

  • Internal Medicine Physician
  • Hicksville, NY
  • NPI 1154327492
  NPD (past)
• Liliya Lotsvin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1144221110
  NPD (past)
• Martin Malachovsky, M.D, M.P.H

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568402261
  NPD (past)
• Luay S Marji, MD

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1477532828
  NPD (past)
• Ammir Rabadi, M.D.

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1578746350
  NPD (past)
• Hla-Pe Win, M.D.

  • Family Medicine Physician
  • Poughkeepsie, NY
  • NPI 1962585919
  NPD (past)
• Sunila Philips, MD

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1407923337
  NPD (past)
• Noel Oscar Roncal, M.D.

  • Family Medicine Physician
  • Naples, FL
  • NPI 1528032273
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1083853360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107030740",
            "telephone_number": "914-376-7767",
            "fax_number": "914-376-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014004",
            "telephone_number": "914-376-7767",
            "fax_number": "914-376-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-376-7767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Marie Ruiz Briones, P.T.
• Michelle Evelyn Briscoe, PHARM.D
• Mary Ellen Brittis, M.D.
• Broadway Car Service Inc (Broadway Car Service)
• Broadway Medical Practice
• Priscilla Owusu Brobbey, FNP
• Basha Brody, NP
• Cheryl Barbara Brody, R.D.
• Bronx River Road Licensed Clinical Social Work LLC (Mindful Living LCSW)
• Bronx Vamc

• Specialist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.