Provider Demographics
NPI:1619494150
Name:SYNERGY HOMECARE OF BERGEN COUNTY
Entity Type:Organization
Organization Name:SYNERGY HOMECARE OF BERGEN COUNTY
Other - Org Name:SYNERGY HOMECARE OF BERGEN COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BERSSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-833-1500
Mailing Address - Street 1:1029 TEANECK RD STE 3D
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4514
Mailing Address - Country:US
Mailing Address - Phone:201-833-1500
Mailing Address - Fax:201-837-2273
Practice Address - Street 1:1029 TEANECK ROAD
Practice Address - Street 2:SUITE 3D
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-833-1500
Practice Address - Fax:201-837-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0256900253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care