Organization Active NPI

Synapse Medical Care, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Woodside, NY
National Provider Identifier
1144961863
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SYNAPSE MEDICAL CARE, P.C.
Practice address
3443 60TH St Apt P2
Woodside, NY 11377-2119
Phone
(201) 730-2743
Fax
(239) 235-4641
NPI assigned
Apr 5, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Kazi MD Asif Hilmi, MDNPI 1962851279
Title
Director
Phone
(929) 372-4835

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary
Neurology Physician 2084N0400X NU
Clinical Neurophysiology Physician 2084N0600X NU
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X NU
Epilepsy Physician 2084E0001X NU

Addresses

Primary practice location

3443 60TH St Apt P2
Woodside, NY 11377-2119

Mailing address

3443 60TH St Apt P2
Woodside, NY 11377-2119
Phone (201) 730-2743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220721002905 NY Part B Supplier - Clinic/Group Practice 1153702113 Receives reassigned benefits from 2 practitioners
Practice locations: Jamaica, NY; Woodside, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1144961863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 60TH ST APT P2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772119",
            "telephone_number": "201-730-2743",
            "fax_number": "239-235-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 60TH ST APT P2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772119",
            "telephone_number": "201-730-2743",
            "fax_number": "239-235-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "HILMI",
        "authorized_official_first_name": "KAZI MD ASIF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "929-372-4835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.