PRIME DIAGNOSTICS PC (NPI# 1598168882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598168882 |
| Entity Type | Organization |
| Organization Name | PRIME DIAGNOSTICS PC |
| Practice Address |
118 Broad Ave Unit N9 Palisades Park NJ 07650-2717 |
| Practice Telephone | 2014466701 |
| Practice Fax Number | 2019411157 |
| Mailing Telephone | 2014466701 |
| Mailing Fax Number | 2019411157 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | CHANG S PARK (PRESIDENT) |
| Authorized Official Telephone | 2014466701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 25MA05299100 | NJ | Other Service Providers |
| Street Address |
118 BROAD AVE UNIT N9 |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679671606 | 7 Aleftv, Inc. | Pharmacy | 118 Broad Ave, Suite N4, Palisades Park, NJ 07650-2717 | 2006-09-21 |
| 1730631466 | Hyeyoung Park | Nurse Practitioner | 118 Broad Ave, Ste N10, Palisades Park, NJ 07650-2717 | 2016-10-28 |
| 1588114060 | Prime Diagnostics, P.C. | Specialist | 118 Broad Ave, N9, Palisades Park, NJ 07650-2717 | 2016-10-10 |
| 1881057412 | Jaedoo Lee | Chiropractor | 118 Broad Ave, N9, Palisades Park, NJ 07650-2717 | 2016-03-31 |
| 1558774778 | Prime Acupuncture Care PC | Acupuncturist | 118 Broad Ave, Suite N10, Palisades Park, NJ 07650-2717 | 2014-06-05 |
| 1487067724 | Prime Chiropractic PC | Chiropractor | 118 Broad Ave, Suite N10, Palisades Park, NJ 07650-2717 | 2014-06-04 |
| 1437579505 | Prime Pain Clinic P.C. | Physical Therapist | 118 Broad Ave, Ste N10, Palisades Park, NJ 07650 | 2014-04-16 |
| 1033550017 | Jeannie S Joo | Pharmacist | 118 Broad Ave, Suite N4, Palisades Park, NJ 07650-2717 | 2013-07-08 |
| 1134350648 | E-plant Dental, P.C. | Dentist | 118 Broad Ave, #n-10, Palisades Park, NJ 07650-2717 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1437631371 | Catherine Jang | Pharmacist | 113 Roosevelt Pl, Palisades Park, NJ 07650 | 2018-09-06 |
| 1063911782 | Jinwoo Kim | Acupuncturist | 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 | 2018-02-08 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1366836520 | George Xenakis, Dds, Palisades Park, LLC | Clinic/Center | 261a Broad Ave, Palisades Park, NJ 07650 | 2015-03-26 |
| 1245637842 | Sun Young Lee | Nurse Practitioner | 11 West Harriet Ave, Apt 102, Palisades Park, NJ 07650 | 2014-11-25 |
| 1063824290 | Daehwan Ji | Acupuncturist | 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650 | 2014-05-22 |
| 1295084739 | Minhyun Cho | Counselor | 19 E Central Blvd, Palisades Park, NJ 07650 | 2012-08-30 |
| 1255693164 | Juliana A Vasquez | Specialist | 446 7th Street, Palisades Park, NJ 07650 | 2012-06-15 |
| 1295019529 | Now Pain Clinc PC | Residential Treatment Facility, Physical Disabilities | 21 Grand Ave #502, Palisades Park, NJ 07650 | 2011-10-05 |
| Find all providers in zip 07650 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224811 | Mdusa | Legal Medicine | 244 Broad Ave, 2nd Floor, Palisades Park, NJ 07650-1552 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245539261 | Ronald Victor Suarez | Legal Medicine | 27 Britten Rd, Green Village, NJ 07935-3001 | 2011-03-16 |
| 1366760373 | Stacey Melissa Blackman | Legal Medicine | 9 Wayne Ave, East Orange, NJ 07018 | 2010-05-14 |
| 1427296771 | Martin Clay Lewis | Legal Medicine | 47 Van Lieus Rd, Ringoes, NJ 08551-1314 | 2009-01-24 |
| 1386829778 | 347 Lyons Avenue Medical Center LLC | Legal Medicine | 347 Lyons Ave, Newark, NJ 07112-1440 | 2008-01-03 |
| 1043432925 | Mark James Bartiss | Legal Medicine | 24 Nautilus Dr Ste 5, Manahawkin, NJ 08050-2490 | 2007-05-02 |
| 1891829305 | A Better Choice | Legal Medicine | 108 Garnett Ln, Egg Harbor Township, NJ 08234-5959 | 2007-03-15 |
| 1629117239 | Jay B Bosniak Md Pa | Legal Medicine | 143 Pavilion Ave, Long Branch, NJ 07740-6415 | 2007-02-06 |
| 1881732162 | Genitourinary Surgeons of New Jersey Pa | Legal Medicine | 211 Courtyard Dr, Hillsborough, NJ 08844-4247 | 2007-02-01 |
| 1285771816 | Apollo Medical Associates, P.C. | Legal Medicine | 148 Parsippany Rd, Apollo Medical Center, Parsippany, NJ 07054 | 2007-01-31 |
| 1588719587 | Joseph L Mosquera | Legal Medicine | 137 Prospect St, Newark, NJ 07105-1712 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
| City | PALISADES PARK |
| Zip Code | 07650 |
Please comment or provide details below to improve the information on PRIME DIAGNOSTICS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.