Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prime Ortho & Spine LLC

Organization Orthopaedic Surgery Physician · NPI 1306756275

Prime Ortho & Spine LLC provides Orthopaedic Surgery Physician services in Wayne, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

342 Hamburg Tpke Ste 209
Wayne, NJ 07470-2166
Phone: (954) 751-4490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1306756275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shatina Cannon — Administrator · (954) 751-4490
NPI enumeratedSeptember 11, 2026
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026
Mailing address2001 W Sample Rd Ste 318, Deerfield Beach, FL 33064-1342

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