Broadway Pediatrics M.D.P.C.

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

Legal business name

BROADWAY PEDIATRICS M.D.P.C.

Practice address

4250 Broadway
Suite 1C
New York, NY 10033-3748

Phone

(212) 740-3900

Fax

(212) 740-8232

NPI assigned

May 21, 2007

Last updated

Jul 7, 2011By 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

Dr. Jose Perez, M.D.NPI 1245255611

Title

President

Phone

(212) 740-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJHEAA
• FHIR API: https://fhir4.healow.com/fhir/r4/FEBFAA

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.

• Jose Francisco Perez, M.D.

  • Pediatrics Physician
  • New York, NY
  • NPI 1245255611
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1891903837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 BROADWAY",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333748",
            "telephone_number": "212-740-3900",
            "fax_number": "212-740-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BROADWAY",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333748",
            "telephone_number": "212-740-3900",
            "fax_number": "212-740-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PEDIATRICS M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-740-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01620699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broadway Dental Office, P.C
• Broadway Downtown Pharmacy Inc.
• Broadway GYN Office, P.C
• Broadway I Medicine PLLC
• Broadway Manhattan Medical Office, PC
• Broadway Pharmacy III Inc
• Broadway Pharmacy Nyc Inc
• Broadway RX Enterprises Inc
• Broadway Vision 135 Inc
• Broadway Vision Center Inc. (Broadway Vision Center)

• Pediatric Hospice and Palliative Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Hospice and Palliative Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.