Provider Demographics
NPI:1518388073
Name:SYNAPSE BEHAVIORAL MEDICINE LLC
Entity Type:Organization
Organization Name:SYNAPSE BEHAVIORAL MEDICINE LLC
Other - Org Name:KIRANBEN JADEJA MD LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRANBEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JADEJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-762-1857
Mailing Address - Street 1:217 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1164
Mailing Address - Country:US
Mailing Address - Phone:732-762-1857
Mailing Address - Fax:
Practice Address - Street 1:1520 US HIGHWAY 130
Practice Address - Street 2:SUITE 203
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3145
Practice Address - Country:US
Practice Address - Phone:732-762-1857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNAPSE BEHAVIORAL MEDICINE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08210600261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health