Synapse Brain & Spine Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SYNAPSE BRAIN & SPINE CENTER LLC

Practice address

19413 Jingle Shell Way Unit 2
Lewes, DE 19958-6307

Phone

(908) 319-1446

NPI assigned

Aug 29, 2023

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Waterson, DCNPI 1730840257

Title

Owner

Phone

(908) 319-1446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Scott Waterson, DC

  • Neurology Chiropractor
  • Lewes, DE
  • NPI 1730840257
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1710762786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19413 JINGLE SHELL WAY UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586307",
            "telephone_number": "302-200-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19413 JINGLE SHELL WAY UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586307",
            "telephone_number": "908-319-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE BRAIN & SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-06-05",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "WATERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-319-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale F. Sutherland, M.D.
• Tonia Sutton
• David Swed, RN
• Patrick Swier, MD
• Sydney Smyk, LCSW LLC
• Synergy Behavioral Health Group
• Maureen Syntax, CRNA
• Ericson N Tabaco
• Deborah M Tabulov, N.P.
• Haley Tait, RN

• Clinic/Center in Lewes, DE
• Providers in Lewes, DE by specialty
• Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.