Broadway House for Continuing Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060738 Issued in NJ

Legal business name

BROADWAY HOUSE FOR CONTINUING CARE

Practice address

298 Broadway
Newark, NJ 07104-8000

Phone

(973) 268-9797

Fax

(973) 268-2828

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

James R Gonzalez, LNHA

Title

President/Ceo

Phone

(973) 268-9797

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Broadway House for Continuing Ca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Newark AIDS Consortium, Inc

  • Skilled Nursing Facility
  • Newark, NJ
  • NPI 1538168885
  NPD tax ID

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1508307216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071048000",
            "telephone_number": "973-268-9797",
            "fax_number": "973-268-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071048000",
            "telephone_number": "973-268-9797",
            "fax_number": "973-268-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY HOUSE FOR CONTINUING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-268-9797",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6400400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya S. Brissett, NURSE PRACTITIONER
• Kevin Brister, CADC
• Broad Street Medical, Inc
• Broadwat Adult Medical Day Care Center
• Broadway Dental Group, PC
• Broadway Oral Surgery LLC
• Broadway Vision Services Inc.
• Lyudmila Brodetskaya, FNP
• Milton Barney Brodkowitz, MS-AUDIOLOGIST
• Elena Bronshtein, M.D.

• Skilled Nursing Facility in Newark, NJ
• Providers in Newark, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.