NPI 1700644077
Prime Riv
Practice location
- Address
- 2780 Stillwell Ave, Brooklyn, NY 11224-2722
- Phone
- (718) 371-0025
Authorised official
- Name
- Gregory Martin Jansen
- Title
- Director
- Phone
- (610) 283-8706
Registered specialties (3)
Home Delivered Meals
Primary
Case Management Agency
Supports Brokerage Agency
Registry record
- NPI
- 1700644077
- Entity type
- Organization
- NPI issued
- 11 Mar 2024
- Record last updated
- 24 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.