Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime

Organization Physical Therapist · NPI 1104315811

Prime is a Physical Therapist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018

Practice location Address checks out

60 Park Pl Ste 402
Newark, NJ 07102-5513
Phone: (973) 803-8130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 01062100 (NJ)

Record details

NPI number1104315811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mona Lisa Lao — Operation Manager · (201) 936-2660
Other names Physical Therapy; Physical Therapy
NPI enumeratedMay 8, 2018
Last updated in NPPESMay 8, 2018
Mailing address32 Cypress St, Jersey City, NJ 07305-4869

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