Active NPI
Prime Neurology LLC
- Neurology Physician
- Fair Lawn, NJ
National Provider Identifier
1417620113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- PRIME NEUROLOGY LLC
- Practice address
- 15-01 Broadway Ste 32
Fair Lawn, NJ 07410-6026 - Phone
- (551) 252-5316
- Fax
- (201) 849-7545
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sweta Goel, MD
- Title
- Physician
- Phone
- (339) 293-7686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
15-01 Broadway Ste 32
Fair Lawn, NJ 07410-6026
Mailing address
15-01 Broadway Ste 32
Fair Lawn, NJ 07410-6026
Phone (551) 252-5316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15-01 Broadway
Ste 32
Fair Lawn, NJ 07410
Phone (201) 791-6434
385 Prospect Ave
Ste 208
Hackensack, NJ 07601
Phone (551) 252-5316
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fair Lawn, NJ
- NPI 1851680821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1417620113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY STE 32",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106026",
"telephone_number": "551-252-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY STE 32",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106026",
"telephone_number": "551-252-5316",
"fax_number": "201-849-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME NEUROLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "GOEL",
"authorized_official_first_name": "SWETA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "339-293-7686",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.