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

Broadway I Medicine PLLC

Organization Internal Medicine Physician · NPI 1740504240

Broadway I Medicine PLLC is an Internal Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4250 Broadway Rm 1A
New York, NY 10033-3749
Phone: (212) 740-7100
Fax: (212) 740-8232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 254371 (NY)

Record details

NPI number1740504240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Perez — Physician · (212) 740-7100
NPI enumeratedMarch 26, 2010
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address4250 Broadway Rm 1a, New York, NY 10033-3749

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