Active NPIOrganization

Prime Pain Clinic P.c.

Physical Therapist in Palisades Park, New Jersey

NPI Number1437579505
Practice location
118 Broad Ave, Ste N10, Palisades Park, NJ 07650
Fax
201-941-1157
Last updated
December 22, 2016

Prime Pain Clinic P.c. is a healthcare organization based in Palisades Park, NJ. Prime Pain Clinic P.c. practices in Palisades Park, NJ. The NPI Number for Prime Pain Clinic P.c. is 1437579505. The current practice location address for Prime Pain Clinic P.c. is 118 Broad Ave, Ste N10, Palisades Park, NJ 07650 and can be reached out via phone at 201-313-1122 and via fax at 201-941-1157.

Provider Profile Details

NPI Number
1437579505
Provider Name
Prime Pain Clinic P.c.
Provider Entity Type
Organization
Address
118 Broad Ave, Ste N10, Palisades Park, NJ 07650
Phone Number
201-313-1122
Fax Number
201-941-1157
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Mr. Tae Sik Ra, RPT · Owner · 201-313-1122
Provider Enumeration Date
April 16, 2014
Last Update Date
December 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Broad Ave
Ste N10
Palisades Park, NJ 07650
Zip
07650
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 N10
Palisades Park, NJ 07650
City
Palisades Park
State
NJ
Zip
07650
Phone Number
201-313-1122
Fax Number
201-941-1157

License Information

Taxonomy
Physical Therapist · 225100000X · 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 Pain Clinic P.c.?

The NPI number of Prime Pain Clinic P.c. is 1437579505. It was assigned on April 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Prime Pain Clinic P.c.?

Prime Pain Clinic P.c. is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Prime Pain Clinic P.c. practice?

The practice location is 118 Broad Ave, Ste N10, Palisades Park, NJ 07650. 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 1437579505 directly on the NPPES registry website.

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