Organization Active NPI

Synergy Medical Laboratories Inc

  • Clinical Medical Laboratory
  • Keyport, NJ
National Provider Identifier
1982975421
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SYNERGY MEDICAL LABORATORIES INC
Practice address
152 State Route 35
Keyport, NJ 07735-6168
Phone
(732) 695-4700
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Arvind Gurnani
Title
Lab Manager
Phone
(732) 695-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

152 State Route 35
Keyport, NJ 07735-6168

Mailing address

152 State Route 35
Keyport, NJ 07735-6168
Phone (732) 695-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000610 NJ Part B Supplier - Independent Clinical Laboratory 6204072028 Practice locations: Keyport, NJ

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
31D2053614Synergy Medical Labs152 State Route 35, Keyport, NJ 07735ComplianceAug 21, 2027

National Provider Directory

National Provider Directory

Locations

710 Tennent Rd
Ste 104
Manalapan, NJ 07726
Phone (732) 829-8049

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": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1982975421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 STATE ROUTE 35",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077356168",
            "telephone_number": "732-695-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 STATE ROUTE 35",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077356168",
            "telephone_number": "732-695-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GURNANI",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "732-695-4700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.