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

Broadway Internal Medicine Associates PC

Organization Internal Medicine Physician · NPI 1952446189

Broadway Internal Medicine Associates PC is an Internal Medicine Physician in Massapequa, New York. Registered with an NPI since 2007.

In the registry since
2007
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

585 Broadway
Massapequa, NY 11758
Phone: (516) 797-1234
Fax: (516) 797-0190
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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

Record details

NPI number1952446189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Miceli — Pres · (516) 797-1234
NPI enumeratedFebruary 21, 2007
Last updated in NPPESSeptember 26, 2007
Mailing address585 Broadway, Massapequa, NY 11758

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