Individual provider Active NPI

Abigail Madison Broschard

  • Registered Dietitian
  • Egg Harbor Township, NJ
National Provider Identifier
1770356271
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86328561 Issued in NJ
Practice address
2500 English Creek Ave Ste 200
Egg Harbor Township, NJ 08234-5598
Phone
(609) 231-3737
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86328561 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave Ste 200
Egg Harbor Township, NJ 08234-5598

Mailing address

5 Broschard Blvd
Woodbine, NJ 08270-3120
Phone (609) 231-3737

Other practice location 1

101 Vera King Farris Dr # Quad108
Galloway, NJ 08205-9441
Phone (609) 652-4701 ext. 4680

Other practice location 2

1401 Atlantic Ave
Atlantic City, NJ 08401-7001
Phone (609) 231-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425001153 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5799125688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
Suite 223 TM Diabetes
Egg Harbor Township, NJ 08234-5598
Phone (609) 407-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Health Services, Inc. CurrentSince Aug 11, 2024 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Aug 11, 2024 Accepting new patients
Atlanticare Physician Group PA CurrentSince Mar 20, 2024 Accepting new patients
Atlanticare Health Services, Inc. Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Mar 20, 2024 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Atlanticare Health Services Inc. Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

1401 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 441-7088

2500 English Creek Ave
Ste 200
Egg Harbor Township, NJ 08234
Phone (609) 677-6000

2500 English Creek Ave
Ste 223
Egg Harbor Twp, NJ 08234
Phone (609) 407-2277

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1770356271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BROSCHARD BLVD",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082703120",
            "telephone_number": "609-231-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 200",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345598",
            "telephone_number": "609-231-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Vera King Farris Dr # Quad108",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082059441",
            "country_code": "US",
            "telephone_number": "609-652-4701 x4680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084017001",
            "country_code": "US",
            "telephone_number": "609-231-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSCHARD",
        "first_name": "ABIGAIL",
        "middle_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86328561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.