PRIME CHIROPRACTIC PC
NPI 1891107124
Chiropractor in Palisades Park, NJ

Active since May 21, 2014
118 BROAD AVE STE 9, PALISADES PARK, NJ 07650(201) 313-1122(201) 941-1157 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME CHIROPRACTIC PC (NPI 1891107124) is a healthcare organization registered as a chiropractor in Palisades Park, New Jersey and active in the NPI registry since May 2014. The organization lists Dong Sun Park, President, as its authorized official.

NPPES Registry Identity

NPI1891107124
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIME CHIROPRACTIC PC
Location Address118 BROAD AVE STE 9Palisades Park, NJ 07650-2717
Mailing Address118 Broad Ave Ste 9Palisades Park, NJ 07650-2717 · (201) 313-1122 · Fax (201) 941-1157
Fax(201) 941-1157
Organization SubpartNo
Authorized OfficialDong Sun ParkPresident · (201) 669-0336
Enumeration DateMay 21, 2014
NPI 1891107124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NJ · 38MC00694400
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
118 BROAD AVE STE 9, Palisades Park, NJ 07650

Other Identifiers 1

Other38MC00694400NJ · Nj License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Chiropractic PC's NPI number?

The NPI number for Prime Chiropractic PC is 1891107124. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Prime Chiropractic PC located?

Prime Chiropractic PC is located at 118 Broad Ave Ste 9, Palisades Park, NJ 07650. The listed phone number is (201) 313-1122.

What is Prime Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Prime Chiropractic PC was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.