Organization Active NPI

Prime Neurology LLC

  • Neurology Physician
  • Fair Lawn, NJ
National Provider Identifier
1417620113
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Sweta Goel, MDNPI 1851680821
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20211013002296 NJ Part B Supplier - Clinic/Group Practice 1456759901 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Lawn, NJ; Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.