Active NPI
Synergy Surgical Associates, LLC
- Clinical Neurophysiology Physician
- Wayne, NJ
National Provider Identifier
1801410154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- SYNERGY SURGICAL ASSOCIATES, LLC
- Practice address
- 1247 Ratzer Rd
Wayne, NJ 07470-2311 - Phone
- (888) 851-3677
- Fax
- (888) 851-3671
- NPI assigned
- Jun 2, 2020
- 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
- Matthew McDonnell,
- Title
- Authorized Official
- Phone
- (732) 221-9073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | Primary |
Addresses
Primary practice location
1247 Ratzer Rd
Wayne, NJ 07470-2311
Mailing address
1247 Ratzer Rd
Wayne, NJ 07470-2311
Phone (888) 851-3677
National Provider Directory
National Provider DirectoryLocations
1247 Ratzer Rd
Wayne, NJ 07470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1801410154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 RATZER RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702311",
"telephone_number": "888-851-3677",
"fax_number": "888-851-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 RATZER RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702311",
"telephone_number": "888-851-3677",
"fax_number": "888-851-3671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY SURGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-02",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "MCDONNELL,",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "732-221-9073"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.