Organization · Type 2 NPI
Prime Neurology LLC
Neurology Physician · Fair Lawn, NJ
NPI number
1417620113
Active
Practice location
15-01 Broadway Ste 32
Fair Lawn, NJ 07410-6026
Fax (201) 849-7545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | None listed |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Another provider at this address
About NPI 1417620113
Prime Neurology LLC's National Provider Identifier is 1417620113, issued on Jul 28, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Fair Lawn, NJ. The record was last updated on Feb 19, 2026.