Organization Active NPI

Synapse Neurological Care P.a.

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Clermont, FL
National Provider Identifier
1124469218
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
Legal business name
SYNAPSE NEUROLOGICAL CARE P.A.
Practice address
2753 Citrus Tower Blvd
Clermont, FL 34711-6699
Phone
(352) 404-7712
Fax
(352) 404-7713
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Raam Sambandam, MDNPI 1528226388
Title
President
Phone
(352) 404-7712

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
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0008X Primary

Addresses

Primary practice location

2753 Citrus Tower Blvd
Clermont, FL 34711-6699

Mailing address

PO Box 2380
Minneola, FL 34755-2380
Phone (904) 563-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130820000892 FL Part B Supplier - Clinic/Group Practice 0345482428 Receives reassigned benefits from 6 practitioners
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

1920 Don Wickham Dr
Ste 105
Clermont, FL 34711

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1124469218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2380",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347552380",
            "telephone_number": "904-563-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116699",
            "telephone_number": "352-404-7712",
            "fax_number": "352-404-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE NEUROLOGICAL CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "SAMBANDAM",
        "authorized_official_first_name": "RAAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-404-7712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.