Prime Total Pain Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00671900 Issued in NJ

Legal business name

PRIME TOTAL PAIN CLINIC PC

Practice address

118 Broad Ave Ste 10
Palisades Park, NJ 07650-2717

Phone

(201) 313-1122

Fax

(201) 941-1157

NPI assigned

Jun 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Seung Lee, DC

Title

President

Phone

(201) 290-5415

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154859122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROAD AVE.",
            "address_2": "SUITE 10",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-313-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROAD AVE STE 10",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502717",
            "telephone_number": "201-313-1122",
            "fax_number": "201-941-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TOTAL PAIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-290-5415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00671900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Diagnostics PC
• Prime Diagnostics, P.C.
• Prime Pain Clinic P.C.
• Prime Painmanagement PC
• Prime Spinecare
• Resam Healing US Inc
• Reset Acupuncture LLC
• Harvey William Rice, M.D.
• Riverside Health Care LLC
• Riverside Health Care LLC

• Chiropractor in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.