Organization Active NPI

Synergy Medical Practice PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1710001862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
164099 Issued in NY
Legal business name
SYNERGY MEDICAL PRACTICE PC
Practice address
3907 4TH Ave
Brooklyn, NY 11232-2901
Phone
(718) 435-9745
Fax
(718) 435-9746
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David H Delman, M.D.
Title
Owner-Doctor
Phone
(718) 435-9745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 164099 NY Primary

Addresses

Primary practice location

3907 4TH Ave
Brooklyn, NY 11232-2901

Mailing address

3907 4TH Ave
Brooklyn, NY 11232-2901
Phone (718) 435-9745

Other identifiers 1

IdentifierTypeStateIssuer
1902966021OtherNYRAJ D. TOLAT, M.D.

National Provider Directory

National Provider Directory

Locations

3907 4th Ave
Brooklyn, NY 11232
Phone (347) 457-3012

Practitioners & affiliated clinicians

Practitioners 1

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710001862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322901",
            "telephone_number": "718-435-9745",
            "fax_number": "718-435-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322901",
            "telephone_number": "718-435-9745",
            "fax_number": "718-435-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER-DOCTOR",
        "authorized_official_telephone_number": "718-435-9745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "164099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAJ D. TOLAT, M.D.",
            "identifier": "1902966021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.