SUMMIT MEDICAL GROUP PA – NPI #1477210227
Clinic/Center

SUMMIT MEDICAL GROUP PA is an AHC clinic located in NORTHVALE, NJ. NPPES has assigned the NPI number 1477210227 to SUMMIT MEDICAL GROUP PA on November 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 MEDICAL GROUP PA below.

NPI Profile for
SUMMIT MEDICAL GROUP PA

NPI Number
1477210227
Enumeration Date

(more than 4 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
Primary location
273 LIVINGSTON STREET
NORTHVALE, NJ 07647
Phone: (201) 381-5370 Fax:
Mailing address
1345 RXR PLZ
UNIONDALE, NY 11556-1301
Phone: (516) 453-0435 Fax:
Organization Subpart
Yes - SUMMIT MEDICAL GROUP PA is subpart of another organization.
Authorized Official
JEFFREY LEBENGER
CEO
Phone: (516) 453-0435
Updated
Certification Date
Nov 15, 2021

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.