Broadway Medical P.C.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

017855 Issued in NY

Legal business name

BROADWAY MEDICAL P.C.

Practice address

120 Broadway
Lynbrook, NY 11563-3233

Phone

(516) 599-9355

Fax

(516) 593-9355

NPI assigned

May 14, 2007

Last updated

Sep 11, 2025By 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

Joseph Vitoulis, D.O.

Title

Owner

Phone

(516) 599-9355

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1932314515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633233",
            "telephone_number": "516-599-9355",
            "fax_number": "516-593-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633233",
            "telephone_number": "516-599-9355",
            "fax_number": "516-593-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VITOULIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-599-9355",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002413",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "205528",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205528",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "017855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01918905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Bregel
• Ellen Merri Brenner, LCSW
• Richard Briglio, PH.D.
• Aileen Ingrid Brito
• Broadway Chiropractoc
• Brookside Home Care Inc.
• David P Browdy, D.M.D.
• Sheila Brown-Sterling
• Nikki Bruce Stanley
• Annemarie Bruen

• Massage Therapist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.