BROADWAY INTERNAL MEDICINE P.C – NPI #1124265848
Clinic/Center

BROADWAY INTERNAL MEDICINE P.C is an AHC clinic located in ELMHURST, NY. NPPES has assigned the NPI number 1124265848 to BROADWAY INTERNAL MEDICINE P.C on January 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROADWAY INTERNAL MEDICINE P.C below.

NPI Profile for
BROADWAY INTERNAL MEDICINE P.C

NPI Number
1124265848
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADWAY INTERNAL MEDICINE P.C
Primary location
7517 41ST AVENUE
ELMHURST, NY 11373
Phone: (718) 803-6300 Fax: (718) 803-0085
Mailing address
7517 41ST AVE
ELMHURST, NY 11373-1004
Phone: (718) 803-6300 Fax:
Organization Subpart
No
Authorized Official
CARLOS GONZALEZ
PHYSICIAN
Phone: (718) 803-6300
Updated
Identifiers

Identifiers for BROADWAY INTERNAL MEDICINE P.C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY1437162024
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC1500X
- Clinic/Center / Community Health (Primary)		 NY 156591

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.