Organization Active NPI

Synergy Medical Practice LLC

  • Pulmonary Disease Physician
  • Jersey City, NJ
National Provider Identifier
1811885601
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SYNERGY MEDICAL PRACTICE LLC
Doing business as
Synergy Medical Practice LLC
Practice address
86 Essex St # 2C
Jersey City, NJ 07302-4539
Phone
(609) 642-3577
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Authorized official

Name
Amina Saqib, MDNPI 1144578311
Title
Medical Director
Phone
(609) 642-3577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

86 Essex St # 2C
Jersey City, NJ 07302-4539

Mailing address

23 Fresh Ponds Rd
East Brunswick, NJ 08816-2500

Other names 1

  • SYNERGY MEDICAL PRACTICE LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909000508 NJ Part B Supplier - Clinic/Group Practice 3779085600 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751673600000",
    "number": "1811885601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FRESH PONDS RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 ESSEX ST # 2C",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024539",
            "telephone_number": "609-642-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A",
        "authorized_official_last_name": "SAQIB",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-642-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY MEDICAL PRACTICE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYNERGY MEDICAL PRACTICE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; 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.