Broadway Spine Center, PA

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

38MC00590400 Issued in NJ

Legal business name

BROADWAY SPINE CENTER, PA

Practice address

714 Broadway
Paterson, NJ 07514-3402

Phone

(973) 222-5107

NPI assigned

Apr 27, 2011

Last updated

Apr 27, 2011By 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. Robert Tartaglia, DC

Title

President

Phone

(973) 222-5107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1336430115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAKESIDE PL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713154",
            "telephone_number": "973-222-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143402",
            "telephone_number": "973-222-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SPINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "TARTAGLIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-222-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00590400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomiris M Brito
• Broadway Anesthesia Providers, LLC
• Broadway Chiropractic PC
• Broadway Internal Medicine PC
• Broadway Oral Surgery LLC (Garden Oral Surgery)
• James Brodsky, D.M.D.
• Barbara H. Brooks, M.A., B.C.B.A.
• Ayasha Brown
• Christina Marie Brown, MD
• Christina Marie Brown

• Rehabilitation Chiropractor in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Rehabilitation Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.