Broadway Medical Care, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

NABI205570 Issued in NY

Legal business name

BROADWAY MEDICAL CARE, P.C.

Practice address

4117 Judge St FL 1
Elmhurst, NY 11373-2343

Phone

(717) 424-3131

Fax

(718) 606-6783

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Dilruba Rashidun Nabi, MD

Title

President

Phone

(917) 204-2067

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arunakumari Penumadu, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Long Island City, NY
  • NPI 1275531931
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1659898443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 JUDGE ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732344",
            "telephone_number": "718-424-3131",
            "fax_number": "718-606-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 JUDGE ST FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732343",
            "telephone_number": "717-424-3131",
            "fax_number": "718-606-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "NABI",
        "authorized_official_first_name": "DILRUBA",
        "authorized_official_middle_name": "RASHIDUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-204-2067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "NABI205570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01843681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bright Star Rehab Physical Therapy PC
• Paola Cristina Briones Orellana, MD
• Angelica Briones, CCC-SLP TSSLD-BE
• Broad Suppliers LLC
• Broadway Dental Group PLLC
• Brooklyn Nuclear Spect Imaging, P.C.
• Abigail Gwyneth Broughton, MD
• Ann Marie Brown
• Lindsay Brown, AUD
• Maritza Brown, MD

• Nephrology Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.