Organization Active NPI

Synergy Neurorehab, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Bedford, NH
National Provider Identifier
1356167449
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SYNERGY NEUROREHAB, PLLC
Practice address
4 Hawthorne Dr Ste 2
Bedford, NH 03110-6983
Phone
(603) 657-8672
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Authorized official

Name
Dr. Zubin Sam Batlivala, MDNPI 1710971957
Title
Owner
Phone
(603) 657-8672

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4 Hawthorne Dr Ste 2
Bedford, NH 03110-6983

Mailing address

163 Highland Rd
Andover, MA 01810-2009
Phone (603) 657-8672

Other practice location 1

400 Mast Rd
Goffstown, NH 03045-2427
Phone (603) 657-8672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250115002271 NH Part B Supplier - Clinic/Group Practice 5597293738 Receives reassigned benefits from 4 practitioners
Practice locations: Bedford, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1356167449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102009",
            "telephone_number": "603-657-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR STE 2",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106983",
            "telephone_number": "603-657-8672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Mast Rd",
            "address_purpose": "LOCATION",
            "city": "Goffstown",
            "state": "NH",
            "postal_code": "030452427",
            "country_code": "US",
            "telephone_number": "603-657-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY NEUROREHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "BATLIVALA",
        "authorized_official_first_name": "ZUBIN",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-657-8672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.