Broadway Oral Surgery LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROADWAY ORAL SURGERY LLC

Practice address

370 Broadway
3Rd Floor Suite 300
Paterson, NJ 07501

Phone

(973) 221-8758

NPI assigned

Apr 7, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Michael Skolnick, DMD

Title

Owner

Phone

(908) 469-9100

Specialties & licenses 4

Addresses

Other names 1

• Garden Oral Surgery Doing business as

Tax ID family

Broadway Oral Surgery LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Broadway Oral Surgery LLC

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1912869199
  NPD tax ID
• Broadway Oral Surgery, LLC

  • Dentist
  • Bayonne, NJ
  • NPI 1427734680
  NPD tax ID
• Broadway Oral Surgery, LLC

  • General Practice Dentistry
  • Elizabeth, NJ
  • NPI 1710703541
  NPD tax ID

Locations

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1104768381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BROADWAY",
            "address_2": "3RD FLOOR SUITE 300",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07501",
            "telephone_number": "973-221-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BROADWAY",
            "address_2": "3RD FLOOR SUITE 300",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07501",
            "telephone_number": "973-221-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-469-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgjay Corporation
• Tomiris M Brito
• Broadway Anesthesia Providers, LLC
• Broadway Chiropractic PC
• Broadway Internal Medicine PC
• Broadway Spine Center, PA
• James Brodsky, D.M.D.
• Barbara H. Brooks, M.A., B.C.B.A.
• Ayasha Brown
• Christina Marie Brown, MD

• General Practice Dentistry in Paterson, NJ
• Providers in Paterson, 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 Apr 30, 2026; 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.