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

Broadway Family Practice PC

Organization Specialist · NPI 1780624031

Broadway Family Practice PC is a Specialist in Pleasantville, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22 N Franklin Blvd 2nd Fl
Pleasantville, NJ 08232-2547
Phone: (609) 272-0655
Fax: (609) 272-9317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1780624031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Regis — President · (609) 272-0655
NPI enumeratedJune 7, 2006
Last updated in NPPESAugust 30, 2013
Mailing address22 North Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547

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