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

North Broadway Medical PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1477809283

North Broadway Medical PC provides Physical Medicine & Rehabilitation Physician services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

1723 E 12th St Ste 5L
Brooklyn, NY 11229-1069 Not confirmed with CMS for 14 years — call before visiting
Phone: (718) 336-1242
Fax: (718) 336-1518
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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 218261 (NY)

Record details

NPI number1477809283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grigory Shtender — Incorporator/President · (718) 336-1242
NPI enumeratedJuly 30, 2012
Last updated in NPPESJuly 30, 2012
Mailing address1723 E 12th St, Suite 5l, Brooklyn, NY 11229-1069

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