Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Street Medical, Inc

Organization Chiropractor · NPI 1881049377

Broad Street Medical, Inc is a Chiropractor in Newark, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1186 Raymond Blvd 2nd Fl
Newark, NJ 07102-4108
Phone: (862) 754-8233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Chiropractor Taxonomy 111N00000X

Record details

NPI number1881049377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amrish Patel — Md · (862) 754-8233
NPI enumeratedMay 3, 2016
Last updated in NPPESMay 3, 2016
Mailing address1186 Raymond Blvd, 2nd Floor, Newark, NJ 07102-4108

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