CITYMD – NPI #1285336560
Clinic/Center

CITYMD is an AHC clinic located in FREEHOLD TOWNSHIP, NJ. NPPES has assigned the NPI number 1285336560 to CITYMD on March 20, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CITYMD” is a dba name, the actual legal business name for this organization is SUMMIT MEDICAL GROUP PA. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 3 years ago on Jun 13, 2023. 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 CITYMD below.

NPI Profile for
SUMMIT MEDICAL GROUP PA

NPI Number
1285336560
Enumeration Date

(more than 3 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 MEDICAL GROUP PA
Doing Business As (dba): CITYMD
Primary location
4339 U.S. 9
FREEHOLD TOWNSHIP, NJ 07728
Phone: (732) 226-8580 Fax:
Mailing address
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922-2104
Phone: (908) 588-3635 Fax:
Organization Subpart
Yes - CITYMD is subpart of another organization.
Authorized Official
JEFFREY LEBENGER
CEO
Phone: (908) 790-6567
Updated
Certification Date
Jun 05, 2023

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.

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
261QU0200X
- Clinic/Center / Urgent Care (Primary)

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.