SUMMIT SURGICAL CENTER, LLC – NPI #1073526208
Clinic/Center

SUMMIT SURGICAL CENTER, LLC is an AHC clinic located in MARLTON, NJ. NPPES has assigned the NPI number 1073526208 to SUMMIT SURGICAL CENTER, LLC on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Mar 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUMMIT SURGICAL CENTER, LLC below.

NPI Profile for
SUMMIT SURGICAL CENTER, LLC

NPI Number
1073526208
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUMMIT SURGICAL CENTER, LLC
Primary location
5000 SAGEMORE DRIVE
SUITE 106
MARLTON, NJ 08053
Phone: (856) 983-4263 Fax: (856) 983-9362
Mailing address
200 BOWMAN DRIVE
SUITE D160
VOORHEES, NJ 08043
Phone: (856) 247-7838 Fax: (856) 247-7858
Organization Subpart
Yes - SUMMIT SURGICAL CENTER, LLC is subpart of another organization.
Authorized Official
STEPHANIE FENDRICK
CO-CHAIR
Phone: (856) 247-7838
Updated
Certification Date
Mar 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUMMIT SURGICAL CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
other1ST OPTION/PHSNJ000K06569
otherAETNA HMONJ2683282
otherAETNA PPONJ7287328
otherAMERIHEALTHNJ0001480000
otherCIGNANJ1372571009M
otherHEALTHNETNJIL2400
otherHIGHMARKNJ0001480000
otherHORIZON BCBSNJ311051
otherKEYSTONENJ0001480000
otherMEDICARE RAILROADNJ490002554
otherOXFORDNJANC844
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NJ 24019

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.