Active NPI
Arkady Broder, MD
- Gastroenterology Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA09209900
- Practice address
- 1640 RT 88W
Suite 202
Brick, NJ 08724 - Phone
- (732) 458-8300
- Fax
- (732) 458-8529
- NPI assigned
- May 25, 2008
- Last updated
- Jul 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 60255303 | NY | |
| Gastroenterology Physician | 207RG0100X | 25MA09209900 | NJ | Primary |
Addresses
Primary practice location
1640 RT 88W
Suite 202
Brick, NJ 08724
Mailing address
1640 RT 88W
Suite 202
Brick, NJ 08724
Phone (732) 458-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600
500 River Ave
Suite 110
Lakewood, NJ 08701-4738
Phone (732) 339-7360
Hospital & facility affiliations
- Saint Peter's University Hospital
- Monmouth Medical Center-Southern Campus
- Robert Wood Johnson University Hospital
- JFK University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 167 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 247 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60255303 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter's University Hospital | Current | Accepting new patients | |
| Allied Digestive Health, LLC | Gastroenterology | Current | Accepting new patients |
| Saint Peter's University Hospital | Current | Accepting new patients | |
| Saint Peter's Healthcare System Physician Associates | Current | Accepting new patients | |
| Saint Peter's Specialty Physicians, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
303 W Main St
Ste 300LL
Freehold, NJ 07728
Phone (732) 339-7972
2290 W County Line Rd
Ste 101
Jackson, NJ 08527
Phone (732) 565-5471
500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360
294 Applegarth Rd
Ste A
Monroe, NJ 08831
Phone (609) 409-1363
298 Applegarth Rd
Ste D
Monroe, NJ 08831
Phone (609) 642-7044
1944 Corlies Ave
Ste 205
Neptune, NJ 07753
Phone (732) 776-9300
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
240 Easton Ave
New Brunswick, NJ 08901
Phone (732) 339-7896
240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453
240 Easton Ave
Fl Attn
New Brunswick, NJ 08901
Phone (732) 565-5453
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
254 Easton Ave
#4
New Brunswick, NJ 08901
254 Easton Ave
Bldg 4TH
New Brunswick, NJ 08901
Phone (732) 745-6667
254 Easton Ave
Fl 4
New Brunswick, NJ 08901
Phone (973) 993-7100
254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
Interoperability endpoints
- arkady.broder.1@8568.direct.athenahealth.com
- arkady.broder.3@8568.direct.athenahealth.com
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Lakewood, NJ
- NPI 1861894982
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
-
dba Saint Peter's Behavioral Health Group
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
-
dba Monmouth Medical Center Southern Campus
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1336307529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 RT 88W",
"address_2": "SUITE 202",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-458-8300",
"fax_number": "732-458-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 RT 88W",
"address_2": "SUITE 202",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-458-8300",
"fax_number": "732-458-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODER",
"first_name": "ARKADY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-25",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "60255303",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA09209900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.