Organization Active NPI

Synergy Fitness and Wellness LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Wayne, NJ
National Provider Identifier
1114456944
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
License
MA07083800 Issued in NJ
Legal business name
SYNERGY FITNESS AND WELLNESS LLC
Practice address
1777 Hamburg Tpke Ste 303
Wayne, NJ 07470-5243
Phone
(973) 339-9787
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cherise M Dyal, MD
Title
Owner
Phone
(973) 339-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X MA07083800 NJ Primary

Addresses

Primary practice location

1777 Hamburg Tpke Ste 303
Wayne, NJ 07470-5243

Mailing address

1777 Hamburg Tpke Ste 303
Wayne, NJ 07470-5243
Phone (973) 339-9787

National Provider Directory

National Provider Directory

Locations

1777 Hamburg Tpke
Ste 303
Wayne, NJ 07470
Phone (973) 339-9787

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114456944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 303",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-339-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE STE 303",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-339-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY FITNESS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DYAL",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-339-9787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "MA07083800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.