Active NPIOrganization

Prime Total Pain Clinic PC

Chiropractor in Palisades Park, New Jersey

NPI Number1154859122
Practice location
118 Broad Ave Ste 10, Palisades Park, NJ 07650-2717
Fax
201-941-1157
Last updated
July 21, 2022

Prime Total Pain Clinic PC is a healthcare organization based in Palisades Park, NJ. Prime Total Pain Clinic PC practices in Palisades Park, NJ. The NPI Number for Prime Total Pain Clinic PC is 1154859122 and holds a License No. 38MC00671900 (NJ). The current practice location address for Prime Total Pain Clinic PC is 118 Broad Ave Ste 10, Palisades Park, NJ 07650-2717 and can be reached out via phone at 201-313-1122 and via fax at 201-941-1157.

Provider Profile Details

NPI Number
1154859122
Provider Name
Prime Total Pain Clinic PC
Provider Entity Type
Organization
Address
118 Broad Ave Ste 10, Palisades Park, NJ 07650-2717
Phone Number
201-313-1122
Fax Number
201-941-1157
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Dr. Seung Lee, DC · President · 201-290-5415
Provider Enumeration Date
June 2, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Broad Ave Ste 10
Palisades Park, NJ 07650-2717
Zip
07650-2717
Phone Number
201-313-1122
Fax Number
201-941-1157
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
118 Broad Ave.
Suite 10
Palisades Park, NJ 07650
City
Palisades Park
State
NJ
Zip
07650
Phone Number
201-313-1122

License Information

License Number
38MC00671900
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prime Total Pain Clinic PC?

The NPI number of Prime Total Pain Clinic PC is 1154859122. It was assigned on June 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Prime Total Pain Clinic PC?

Prime Total Pain Clinic PC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00671900.

Where does Prime Total Pain Clinic PC practice?

The practice location is 118 Broad Ave Ste 10, Palisades Park, NJ 07650-2717. The office can be reached at 201-313-1122 (phone) or 201-941-1157 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154859122 directly on the NPPES registry website.

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