PRIME NEUROLOGY LLC
NPI 1417620113
Psychiatry & Neurology - Neurology in Fair Lawn, NJ
About Prime Neurology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME NEUROLOGY LLC (NPI 1417620113) is a healthcare organization registered as a neurology in Fair Lawn, New Jersey and active in the NPI registry since July 2021. The organization lists Sweta Goel, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Neurology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Neurology LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prime Neurology LLC's NPI number?
The NPI number for Prime Neurology LLC is 1417620113. It was assigned to this organization in the NPPES registry on July 28, 2021.
Where is Prime Neurology LLC located?
Prime Neurology LLC is located at 15-01 Broadway Ste 32, Fair Lawn, NJ 07410. The listed phone number is (551) 252-5316.
What is Prime Neurology LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Prime Neurology LLC enrolled in Medicare?
Yes. Prime Neurology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Neurology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Prime Neurology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Prime Neurology LLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prime Neurology Llc · NPI 1417620113
Neurology organization in Fair Lawn, New Jersey. Organization record, active in the CMS NPPES registry since July 28, 2021.
## Identity
- **NPI:** 1417620113 (Entity type: Organization)
- **Enumerated:** July 28, 2021
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Sweta Goel, PHYSICIAN
## Practice location
- **Address:** 15-01 BROADWAY STE 32, Fair Lawn, NJ 07410-6026
- **Phone:** (551) 252-5316 · **Fax:** (201) 849-7545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417620113) · Data from the CMS NPPES public registry.