Healthcare Provider Details

I. General information

NPI: 1073423414
Provider Name (Legal Business Name): SYNC MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252B CAMDEN ST
NEWARK NJ
07103-2434
US

IV. Provider business mailing address

252A CAMDEN ST
NEWARK NJ
07103-2449
US

V. Phone/Fax

Practice location:
  • Phone: 516-225-4296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABIMBOLA OTUFALE
Title or Position: CEO
Credential: PMHNP
Phone: 516-225-4296