SUMMIT MEDICAL GROUP PA NPI 1477210227

NPI Information

  • NPI: 1477210227
  • Provider Name: SUMMIT MEDICAL GROUP PA
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 31D2257443
  • Address: 273 LIVINGSTON STREET
    NORTHVALE, NJ
    ZIP 07647
  • Phone: (201) 381-5370

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NPI Details

SUMMIT MEDICAL GROUP PA is an urgent care clinic center in Northvale, NJ. SUMMIT MEDICAL GROUP PA NPI is 1477210227. The provider is registered as an organization entity type.

The provider's business location address is:

273 LIVINGSTON STREET
NORTHVALE, NJ
ZIP 07647
Phone: (201) 381-5370

The provider's authorized official is Jeffrey D Lebenger .
The authorized official title is Ceo and has the following contact phone number (516) 453-0435.

The CLIA number assigned to this NPI record is 31D2257443 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2021 and was last updated on 11/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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