Active NPI
Synergy Dialysis of Pembroke Pines, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Reston, VA
National Provider Identifier
1760285969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SYNERGY DIALYSIS OF PEMBROKE PINES, LLC
- Practice address
- 1897 Preston White Dr Ste 105B
Reston, VA 20191-5475 - Phone
- (954) 706-9793
- Fax
- (888) 349-8679
- NPI assigned
- Mar 31, 2025
- 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
- Marcia Anjos Santos
- Title
- Coo
- Phone
- (954) 781-7741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1897 Preston White Dr Ste 105B
Reston, VA 20191-5475
Mailing address
50 E Sample Rd Ste 301
Pompano Beach, FL 33064-3552
Phone (954) 709-9793
National Provider Directory
National Provider DirectoryLocations
1897 Preston White Dr
Ste 105B
Reston, VA 20191
Phone (954) 706-9793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1760285969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E SAMPLE RD STE 301",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330643552",
"telephone_number": "954-709-9793",
"fax_number": "888-349-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1897 PRESTON WHITE DR STE 105B",
"city": "RESTON",
"state": "VA",
"postal_code": "201915475",
"telephone_number": "954-706-9793",
"fax_number": "888-349-8679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY DIALYSIS OF PEMBROKE PINES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "ANJOS",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "954-781-7741"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.