Broadway Manhattan Medical Office, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

BROADWAY MANHATTAN MEDICAL OFFICE, PC

Practice address

4915 Broadway
Ste 1K
New York, NY 10034-3119

Phone

(212) 543-2500

Fax

(212) 543-2503

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Muruga Raj, M.D

Title

Physician

Phone

(212) 543-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1982988903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "address_2": "STE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-543-2500",
            "fax_number": "212-543-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 BROADWAY",
            "address_2": "STE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343119",
            "telephone_number": "212-543-2500",
            "fax_number": "212-543-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MANHATTAN MEDICAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "RAJ",
        "authorized_official_first_name": "MURUGA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-543-2500",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.