Healthcare Provider Details

I. General information

NPI: 1891877957
Provider Name (Legal Business Name): SYNERGY PHYSICAL THERAPY & SPORTS TRAINING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 MALAPARDIS RD SUITE 101
CEDAR KNOLLS NJ
07927-1109
US

IV. Provider business mailing address

210 MALAPARDIS RD SUITE 101
CEDAR KNOLLS NJ
07927-1109
US

V. Phone/Fax

Practice location:
  • Phone: 973-538-8600
  • Fax: 973-538-8646
Mailing address:
  • Phone: 973-538-8600
  • Fax: 973-538-8646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00915900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS00371600
License Number StateNJ

VIII. Authorized Official

Name: MS. MEG ZARNICK
Title or Position: OFFICE MANAGER
Credential:
Phone: 973-538-8600