Active NPI
Health Synergy Clinical Research
- Psychiatry Physician
- West Palm Beach, FL
National Provider Identifier
1851906796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- HEALTH SYNERGY CLINICAL RESEARCH
- Practice address
- 2151 45TH St Ste 208
West Palm Beach, FL 33407-2015 - Phone
- (786) 863-3325
- NPI assigned
- Sep 8, 2020
- Organization subpart
- Yes
- Parent organization
- HEALTH SYNERGY CLINICAL RESEARCH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Asim Nisar
- Title
- Owner
- Phone
- (786) 863-3325
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2151 45TH St Ste 208
West Palm Beach, FL 33407-2015
Mailing address
308 NW 5TH Ave
Okeechobee, FL 34972-2568
Phone (786) 863-3325
Other practice location 1
308 NW 5th Ave
Okeechobee, FL 34972-2568
Phone (786) 863-3325
Other names 1
- Health Synergy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2276772 | Health Synergy Clinical Research LLC | Certificate of waiver | Feb 14, 2027 |
| 10D2318074 | Health Synergy Clinical Research LLC | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider Directory- Part of
- Health Synergy Clinical Research
Locations
308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1851906796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 NW 5TH AVE",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349722568",
"telephone_number": "786-863-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 45TH ST STE 208",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072015",
"telephone_number": "786-863-3325"
}
],
"practiceLocations": [
{
"address_1": "308 NW 5th Ave",
"address_purpose": "LOCATION",
"city": "Okeechobee",
"state": "FL",
"postal_code": "349722568",
"country_code": "US",
"telephone_number": "786-863-3325",
"fax_number": "786-221-4107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTH SYNERGY CLINICAL RESEARCH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH SYNERGY CLINICAL RESEARCH",
"enumeration_date": "2020-09-08",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "NISAR",
"authorized_official_first_name": "MOHAMMAD ASIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-863-3325"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Synergy",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Health Synergy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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- Health Care District of Palm Beach County
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- Health Management Ventures, Inc.
- Health Psychology of Palm Beach LLC
- Healthcare Navigation Systems
- Healthexcel Medical Group at Palm Beach Inc
- Healthy Benefit Supply
- Healthy Community Connection
- Healthy Living Visiting Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.