Active NPI
Synergy Integrated Medical PA
- Family Medicine Physician
- Wilmington, DE
National Provider Identifier
1417353558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SYNERGY INTEGRATED MEDICAL PA
- Practice address
- 807 N Union St
Wilmington, DE 19805-5323 - Phone
- (302) 777-0778
- Fax
- (302) 777-4002
- NPI assigned
- Nov 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheldon Lebovitz, D.O.
- Title
- Medical Director
- Phone
- (302) 777-0778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
807 N Union St
Wilmington, DE 19805-5323
Mailing address
807 N Union St
Wilmington, DE 19805-5323
Phone (302) 777-0778
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1417353558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 N UNION ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198055323",
"telephone_number": "302-777-0778",
"fax_number": "302-777-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N UNION ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198055323",
"telephone_number": "302-777-0778",
"fax_number": "302-777-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY INTEGRATED MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-18",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "LEBOVITZ",
"authorized_official_first_name": "SHELDON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "302-777-0778",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.