Broadway Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BROADWAY MEDICAL GROUP PC

Practice address

1001 Clifton Ave Ste 1B
Clifton, NJ 07013-3586

Phone

(929) 633-0990

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Juan Ruddy Fondeur Soni, MD

Title

President

Phone

(929) 633-0990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789257600000",
    "number": "1144149592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198201",
            "telephone_number": "929-633-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLIFTON AVE STE 1B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133586",
            "telephone_number": "929-633-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Broadway",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070553903",
            "country_code": "US",
            "telephone_number": "929-633-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROADWAY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "FONDEUR SONI",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RUDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-633-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broad Street Surgical Center, LLC
• Broad Street Wellness Center
• Andrew Broadfoot
• Eva Broadfoot
• Broadway Applied Behavior Analysis PLLC
• Tara Sofia Brock, MA, LPC
• Eboni Brown Freeman, CRNP
• Dane Brown
• Elliot Mitchell Brown, MD
• Louis S Brown, M.D

• Family Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.