OrganizationActive
Broad Street Medical, Inc
NPI 1881049377 · Pain Medicine Physician · Newark, NJ
Provider details
- NPI number
- 1881049377
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amrish Patel, MD(862) 754-8233
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Practice location
1186 Raymond Blvd
2nd Floor
Newark, NJ 07102-4108
Phone: (862) 754-8233
Approximate (ZIP-level) locationGet directions
Mailing address
1186 Raymond Blvd
Newark, NJ 07102-4108
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.