Healthcare Provider Details

I. General information

NPI: 1245152685
Provider Name (Legal Business Name): PRIME PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 09/16/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SYLVEN AVE STE 409
ENGLEWOOD CLIFFS NJ
07632
US

IV. Provider business mailing address

9480 MAIN ST # 1174
FAIRFAX VA
22031-4032
US

V. Phone/Fax

Practice location:
  • Phone: 202-656-2888
  • Fax:
Mailing address:
  • Phone: 202-656-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALY PARMAR
Title or Position: OWNER
Credential: NP
Phone: 202-656-2888