Organization Active NPI

Synergy Surgical Associates, LLC

  • Clinical Neurophysiology Physician
  • Wayne, NJ
National Provider Identifier
1801410154
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
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

Updated by the provider on May 1, 2024

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)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.