Organization Active NPI

Health Synergy Clinical Research

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1851906796
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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 RESEARCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2276772Health Synergy Clinical Research LLC2151 45TH Street Suite 210, West Palm Beach, FL 33407Certificate of waiverFeb 14, 2027
10D2318074Health Synergy Clinical Research LLC2151 45TH Street Suite 208, West Palm Beach, FL 33407Certificate of waiverFeb 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"
        }
    ]
}

Other providers in West Palm Beach, FL

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.

Verify at the official NPI Registry.