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Broad Street Wellness Center

General Practice Physician in Clifton, NJ · enumerated 2009 · authorized official Marina Belozersky, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235371576

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Registry record

Entity type Organization (Type 2)
Legal business name Broad Street Wellness Center
Practice address 642 Broad St, 2nd Fl; Ste 9, Clifton, NJ, 07013
Phone (973) 614-9500
Enumeration date Apr 1, 2009
Last updated in NPPES Jun 17, 2009

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Marina Belozersky
Title Office Manager
Phone (973) 614-9500

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Broad Street Wellness Center?
The NPI for Broad Street Wellness Center is 1235371576, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Broad Street Wellness Center?
NPPES lists Marina Belozersky (Office Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-17.