| Prime Neurology Llc | |
|
15-01 Broadway Ste 32 Fair Lawn NJ 07410-6026 | |
| (551) 252-5316 | |
| (201) 849-7545 |
| Full Name | Prime Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15-01 Broadway Ste 32, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Sweta Goel (REGISTERED AGENT) |
| Authorized Official Contact | 5512525316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Neurology Llc 120 E Main Street Pmb#199 Ramsey NJ 07446 Ph: (551) 252-5316 | Prime Neurology Llc 15-01 Broadway Ste 32 Fair Lawn NJ 07410-6026 Ph: (551) 252-5316 |
| NPI Number | 1417620113 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Medicare PECOS PAC ID | 1456759901 |
|---|---|
| Medicare Enrollment ID | O20211013002296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417620113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sweta Goel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851680821 PECOS PAC ID: 5294021838 Enrollment ID: I20211013002328 |
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