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

Central Broadway Medical PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1699007963

Central Broadway Medical PC is a Physical Medicine & Rehabilitation 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

770 Broadway Fl 2
New York, NY 10003-9557
Phone: (866) 335-4040
Fax: (732) 301-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 148049 (NY)

Record details

NPI number1699007963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Avellini — President · 86633540404
NPI enumeratedFebruary 11, 2010
Last updated in NPPESFebruary 11, 2010
Mailing address364 Broad St, Keyport, NJ 07735-1619

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