Prime Pain Clinic P.C.

LBN: Prime Pain Clinic P.C.
Prime Pain Clinic P.C. is an health care organization with primary practice located at 118 Broad Ave Ste N10, Palisades Park NJ 07650. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Prime Pain Clinic P.C. can be contacted via phone (201) 313-1122, or through Ra, Tae Sik via phone (201) 313-1122.

Contact Information

Primary practice address
118 Broad Ave Ste N10 Palisades Park NJ 07650
Phone: (201) 313-1122
Fax: (201) 941-1157
Website:
Map and Directions
Authorized official contact:
Name: Ra, Tae Sik Registered Physical Therapist (RPT)
Phone: (201) 313-1122

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1437579505
LBN Legal business name Prime Pain Clinic P.C.
DBA Doing business as
Authorized official Ra, Tae Sik Registered Physical Therapist (RPT)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2014
Last updated Dec 22nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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