Organization Active NPI

Synergy Dialysis of Pembroke Pines, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Reston, VA
National Provider Identifier
1760285969
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on Mar 31, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.