MR. STEVEN BRODERSON (NPI# 1366755571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366755571 |
| Entity Type | Individual |
| Full Name | MR. STEVEN BRODERSON |
| Credential | RPH |
| Practice Address |
64a Princeton Hightstown Rd Princeton Jct NJ 08550 |
| Practice Telephone | 6097994114 |
| Practice Fax Number | 6097993822 |
| Mailing Telephone | 6097994114 |
| Mailing Fax Number | 6097993822 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RI02360300 | NJ | Pharmacy Service Providers |
| Street Address |
64A PRINCETON HIGHTSTOWN RD |
| City | PRINCETON JCT |
| State | NJ |
| Zip Code | 08550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
| 1073021069 | Deborah Silver | Behavioral Analyst | 329 Village Road East, The Success Center, Princeton Junction, NJ 08550 | 2018-01-12 |
| 1396267217 | Mary Joan Goepfert | Social Worker | 4065 Quakerbridge Road, Princeton Junction, NJ 08550 | 2017-07-12 |
| 1164807459 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3 Wood Hollow Road, West Windsor, NJ 08550 | 2015-07-28 |
| 1144605445 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 694 Village Road West, West Windsor, NJ 08550 | 2015-07-28 |
| 1134504434 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 694a Village Road West, West Windsor, NJ 08550 | 2015-07-28 |
| 1407237837 | Allies, Inc. | Day Training, Developmentally Disabled Services | 1072 Old Trenton Road, West Windsor, NJ 08550 | 2015-06-11 |
| 1588811012 | Randall S Krakauer | Internal Medicine | 29 Lorrie Lane, Princeton Junction, NJ 08550 | 2008-08-27 |
| 1932229101 | Stephen Pike Rounds Jr. | Dentist | 44 Princeton Hightstown Rd, Princeton Jct, NJ 08550 | 2007-03-30 |
| 1063561363 | Irving Earl Simon | Optometrist | 359 Clarksville Road, Princeton Junction, NJ 08550 | 2007-01-09 |
| Find all providers in zip 08550 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912119793 | Biji Joseph | Pharmacist | 374 Village Rd E, Princeton Jct, NJ 08550-2002 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1851992606 | Shimaa Amin Amin | Pharmacist | 2801 John F Kennedy Blvd, Jersey City, NJ 07306-5449 | 2020-11-06 |
| 1710588223 | Reema Malkani | Pharmacist | 807 Abbey Ct, Sicklerville, NJ 08081-2405 | 2020-11-03 |
| 1689275166 | Erica Kaczmarczyk | Pharmacist | 106 Conover Rd, Princeton Junction, NJ 08550-3230 | 2020-11-03 |
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1366042053 | Iman M Ahmed | Pharmacist | 383 Washington, Hillsdale, NJ 07642 | 2020-10-30 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | PRINCETON JCT |
| Zip Code | 08550 |
Please comment or provide details below to improve the information on MR. STEVEN BRODERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.