Individual provider Active NPI

Arkady Broder, MD

  • Gastroenterology Physician
  • Brick, NJ
National Provider Identifier
1336307529
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA09209900 Issued in NJ
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703001523 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9739304841 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Saint Peter's Specialty Physicians PCGroup PAC ID 8426373952, 16 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy167
Upper gastrointestinal (GI) endoscopy for acid reflux247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60255303NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince Jan 12, 2015 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients
Saint Peter's University Hospital CurrentSince Jan 12, 2015 Accepting new patients
Saint Peter's Healthcare System Physician Associates CurrentSince Mar 24, 2015 Accepting new patients
Saint Peter's Specialty Physicians, P.C. Gastroenterology CurrentSince Sep 1, 2018 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

  • Direct secure messaging: arkady.broder.1@8568.direct.athenahealth.com
  • Direct secure messaging: arkady.broder.3@8568.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.