Zach Broyer MD LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA08027500 Issued in NJ

Legal business name

ZACH BROYER MD LLC

Practice address

123 Egg Harbor Rd
Ste 200
Sewell, NJ 08080-9406

Phone

(484) 452-8003

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bernadette N Scarduzio

Title

Billing Manager

Phone

(484) 452-8003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1497938260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 BURLINGTON RD",
            "city": "MURRAY",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "484-452-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "STE 200",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "484-452-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACH BROYER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "SCARDUZIO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "484-452-8003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08027500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.