Active NPI
Syntegra Services Inc
- Clinical Medical Laboratory
- Staten Island, NY
National Provider Identifier
1942684659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SYNTEGRA SERVICES INC
- Practice address
- 310 Poillon Ave
Staten Island, NY 10312-5947 - Phone
- (212) 634-1140
- Fax
- (718) 551-1580
- NPI assigned
- Jul 13, 2015
- Last updated
- Mar 10, 2017
- 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
- Jerry Gordon
- Title
- Ceo
- Phone
- (718) 551-1580
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
310 Poillon Ave
Staten Island, NY 10312-5947
Mailing address
310 Poillon Ave
Staten Island, NY 10312-5947
Phone (212) 634-1140
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Contractor
- Norht Bergen, NJ
- NPI 1194520015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489104000000",
"number": "1942684659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 POILLON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125947",
"telephone_number": "212-634-1140",
"fax_number": "718-551-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 POILLON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125947",
"telephone_number": "212-634-1140",
"fax_number": "718-551-1580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNTEGRA SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-13",
"last_updated": "2017-03-10",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-551-1580"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.