Uptown Broadway Medical PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

UPTOWN BROADWAY MEDICAL PC

Practice address

65 Broadway Ste 1004
New York, NY 10006-2550

Phone

(646) 559-0585

Fax

(646) 559-2061

NPI assigned

Nov 24, 2025

Last updated

Nov 24, 2025By 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

Dr. Jeanjacques Mbabuike, MDNPI 1447520408

Title

Owner

Phone

(914) 806-5332

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jeanjacques Mbabuike, M.D.

  • General Practice Physician
  • New York, NY
  • NPI 1447520408
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1174484661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062550",
            "telephone_number": "646-559-0585",
            "fax_number": "646-559-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062550",
            "telephone_number": "646-559-0585",
            "fax_number": "646-559-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN BROADWAY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "MBABUIKE",
        "authorized_official_first_name": "JEANJACQUES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-806-5332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.