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PREMIER BRAIN AND SPINE LLC NPI 1417632399


NPI Information

NPI: 1417632399
Provider Name: PREMIER BRAIN AND SPINE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
146 N STATE RT 17 STE 3
HACKENSACK, NJ
ZIP 07601
Phone: (732) 906-9600
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PREMIER BRAIN AND SPINE LLC is a durable medical equipment medical supplies in Hackensack, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PREMIER BRAIN AND SPINE LLC NPI is 1417632399. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

146 N STATE RT 17 STE 3
HACKENSACK, NJ
ZIP 07601-071
Phone: (732) 906-9600
Fax: (732) 719-2477

The provider's authorized official is Eric D Freeman .
The authorized official title is Part-owner; Managing Member and has the following contact phone number (732) 906-9600.

The enumeration date for this NPI number is 6/19/2023 and was last updated on 6/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationNo
2111N00000XChiropractorNo
3207T00000XNeurological SurgeryNo
4207X00000XOrthopaedic SurgeryNo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
62081P2900XPhysical Medicine & RehabilitationPain MedicineNo
7225100000XPhysical TherapistNo
8332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.