Broad Zero Inc

Key facts

NPI

1245182005

Entity type

Organization (NPI type 2)

Primary specialty

Supports Brokerage Agency 251X00000X

Legal business name

BROAD ZERO INC

Practice address

638 N Black Horse Pike
Runnemede, NJ 08078-1362

Phone

(844) 611-9376

NPI assigned

Feb 12, 2026

Organization subpart

No

Authorized official

Name

Amanda Bolletino

Title

Owner

Phone

(856) 803-4083

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2026.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1245182005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 FOX RUN RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781362",
            "telephone_number": "844-611-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD ZERO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "BOLLETINO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-803-4083"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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