Broadwat Adult Medical Day Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

308116 Issued in NJ

Legal business name

BROADWAT ADULT MEDICAL DAY CARE CENTER

Practice address

717 Broadway
Newark, NJ 07104-3401

Phone

(973) 268-1212

Fax

(973) 268-1016

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Zoya Halal

Title

Owner

Phone

(973) 268-1212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750403473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 BROADWAY # 727",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043401",
            "telephone_number": "973-268-1212",
            "fax_number": "973-268-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BROADWAY",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043401",
            "telephone_number": "973-268-1212",
            "fax_number": "973-268-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAT ADULT MEDICAL DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALAL",
        "authorized_official_first_name": "ZOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-268-1212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "308116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Brinson
• David S Briss, D.M.D., FRCDC
• Tonya S. Brissett, NURSE PRACTITIONER
• Kevin Brister, CADC
• Broad Street Medical, Inc
• Broadway Dental Group, PC
• Broadway House for Continuing Care
• Broadway Oral Surgery LLC
• Broadway Vision Services Inc.
• Lyudmila Brodetskaya, FNP

• Adult Day Care Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.