Synergy Joint & Spine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07631700 Issued in NJ

Legal business name

SYNERGY JOINT & SPINE LLC

Practice address

525 Route 73 S Ste 300
Marlton, NJ 08053-9644

Phone

(856) 267-5319

Fax

(856) 267-5483

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Andre Hu, MDNPI 1194762971

Title

Owner

Phone

(856) 267-5319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 9

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

• Andre M Hu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marlton, NJ
  • NPI 1194762971
  Medicare reassignment NPD Authorized official
• Steven B Kirshner, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Marlton, NJ
  • NPI 1518906767
  NPD
• Jenna Mullin, PA

  • Physician Assistant
  • Marlton, NJ
  • NPI 1427805001
  NPD
• Daniel Cataldo, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Bethlehem, PA
  • NPI 1487086229
  NPD
• Brenna Dean, PA-C

  • Surgical Physician Assistant
  • Woodbury, NJ
  • NPI 1326416934
  NPD (past)
• Susan Rose Fitzgerald, PA-C

  • Physician Assistant
  • Cherry Hill, NJ
  • NPI 1346318862
  NPD (past)
• Kristine Marie Griffin, P.A.

  • Physician Assistant
  • Marlton, NJ
  • NPI 1932400447
  NPD (past)
• Evelyn Ulzheimer, PA-C

  • Surgical Physician Assistant
  • Camden, NJ
  • NPI 1114341724
  NPD (past)
• Ryan Patrick Urban

  • Physician Assistant
  • Bordentown, NJ
  • NPI 1104593615
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1295097426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-267-5319",
            "fax_number": "856-267-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-267-5319",
            "fax_number": "856-267-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY JOINT & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-267-5319",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07631700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Swain, LCSW
• Celeste Swanson
• Stephanie Marie Swasey
• Simone Monique Sweeney, M.D.
• Sydell Oral Surgery, LLC
• Eric S Sztejman, MD
• Christopher Szymczak, RPH
• Carly Taglienti, CARLY
• Naa Ameley Tagoe, M.S, BCBA
• Stephen Tai, MD

• Physical Medicine & Rehabilitation Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.