Broadway Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00754300 Issued in NJ

Legal business name

BROADWAY CARE PHARMACY LLC

Doing business as

Broadway Care Pharmacy LLC

Practice address

516 Broadway
Bayonne, NJ 07002-3712

Phone

(201) 437-5100

Fax

(201) 437-6100

NPI assigned

Jan 31, 2017

Last updated

Jul 19, 2018By 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

Edward Mossad

Title

Owner, Ao

Phone

(201) 437-5100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Broadway Care Pharmacy LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nehal Dhaduk

  • Internal Medicine Physician
  • New York, NY
  • NPI 1144800467
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1528505351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023712",
            "telephone_number": "201-437-5100",
            "fax_number": "201-437-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023712",
            "telephone_number": "201-437-5100",
            "fax_number": "201-437-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MOSSAD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER,  AO",
        "authorized_official_telephone_number": "201-437-5100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00754300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0599174",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Brennan
• Brian C. Della Pesca Ma LPC, LLC
• Telema Briggs, PH.D.
• Broad Specialty Pharmacy
• Broad Specialty Pharmacy
• Broadway Chiropractic & Rehabilitation Center
• Broadway Oral Surgery, LLC
• Broadway Physical Therapy, LLC
• Broadway RX Inc (Broadway Health Pharmacy)
• Broadway RX Inc (Broadway Health Pharmacy)

• Community/Retail Pharmacy in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.