Organization Active NPI

Synergy Integrated Medical PA

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1417353558
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on May 26, 2015

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.