Broad Street Wellness Center
NPI 1235371576 · General Practice Physician · Clifton, NJ
Broad Street Wellness Center is a General Practice Physician organization in Clifton, NJ (NPI 1235371576).
Provider details
- NPI number
- 1235371576
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marina Belozersky, Office Manager(973) 614-9500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2009-06-17
Frequently asked questions
- What is Broad Street Wellness Center's NPI number?
- Broad Street Wellness Center's National Provider Identifier (NPI) is 1235371576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Street Wellness Center?
- Broad Street Wellness Center is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Broad Street Wellness Center located?
- Broad Street Wellness Center's practice location on file with NPPES is 642 Broad St, Clifton, NJ 07013-1615.
- What is Broad Street Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Broad Street Wellness Center is (973) 614-9500.
- Who is the authorized official for Broad Street Wellness Center?
- The authorized official listed on Broad Street Wellness Center's NPPES record is Marina Belozersky, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Street Wellness Center's NPI active?
- Yes — Broad Street Wellness Center's NPI (1235371576) is active in the NPPES registry as of the last update on 2009-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.