NPIMap

Organization Active NPI

Synergy Spinecare & Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
National Provider Identifier
1093188708
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA09062200 Issued in NJ
Legal business name
SYNERGY SPINECARE & REHABILITATION MEDICINE PC
Practice address
381 Teaneck Rd
Teaneck, NJ 07666-4069
Phone
(201) 530-1300
Fax
(201) 530-1301
NPI assigned
Nov 3, 2015
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seth Schran, M.D.NPI 1275791063
Title
Owner/Medical Director
Phone
(516) 294-4590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA09062200 NJ Primary

Addresses

Primary practice location

381 Teaneck Rd
Teaneck, NJ 07666-4069

Mailing address

381 Teaneck Rd
Teaneck, NJ 07666-4069
Phone (516) 294-4590

Other practice location 1

3107 Kennedy Blvd
North Bergen, NJ 07047-2378
Phone (201) 866-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160815000371 NJ Part B Supplier - Clinic/Group Practice 5496049454 Receives reassigned benefits from 12 practitioners
Practice locations: Teaneck, NJ; North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

3107 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 866-2800

3131 Kennedy Blvd
North Bergen, NJ 07047

381 Teaneck Rd
Ste 2
Teaneck, NJ 07666

233 7th St
Ste 100
Garden City, NY 11530

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1093188708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664069",
            "telephone_number": "516-294-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664069",
            "telephone_number": "201-530-1300",
            "fax_number": "201-530-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070472378",
            "country_code": "US",
            "telephone_number": "201-866-2800",
            "fax_number": "201-866-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY SPINECARE & REHABILITATION MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "SCHRAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-294-4590",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09062200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.