Organization Active NPI

Prime Relief & Wellness

  • Chiropractor
  • Rutherford, NJ
National Provider Identifier
1861175515
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRIME RELIEF & WELLNESS
Practice address
17 Sylvan St Ste 202
Rutherford, NJ 07070-2069
Phone
(201) 414-6642
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Ryan Albern, DCNPI 1205305372
Title
Owner
Phone
(201) 414-6642

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

17 Sylvan St Ste 202
Rutherford, NJ 07070-2069

Mailing address

17 Sylvan St Ste 202
Rutherford, NJ 07070-2069
Phone (201) 414-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012002093 NJ Part B Supplier - Clinic/Group Practice 2769837640 Receives reassigned benefits from 1 practitioner
Practice locations: Rutherford, NJ

National Provider Directory

National Provider Directory

Locations

17 Sylvan St
Ste 202
Rutherford, NJ 07070
Phone (201) 414-6642

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1861175515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SYLVAN ST STE 202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702069",
            "telephone_number": "201-414-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SYLVAN ST STE 202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702069",
            "telephone_number": "201-414-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RELIEF & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ALBERN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-414-6642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.