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Broadway Family Practice, PC

Podiatrist in Pleasantville, NJ · enumerated 2013 · authorized official Jon Regis, Owner/President.

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

National Provider Identifier

1255775821

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Family Practice, PC
Practice address 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ, 08232
Phone (609) 272-0655
Fax (609) 272-9317
Enumeration date Apr 25, 2013
Last updated in NPPES Apr 25, 2013

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Jon Regis
Title Owner/President
Phone (609) 272-0655

Other identifiers

Identifier Type State Issuer
0329282 Medicaid NJ -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-04-25. Verify at npiregistry.cms.hhs.gov.
Where is Broadway Family Practice, PC located?
The practice location on file with NPPES is in Pleasantville, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-25.