SUMMIT MEDICAL GROUP PA NPI 1811561657

NPI Information

NPI: 1811561657
Provider Name: SUMMIT MEDICAL GROUP PA

Doing Business As: CITYMD

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
461 RIVER RD
EDGEWATER, NJ
ZIP 07020
Phone: (551) 497-5681
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SUMMIT MEDICAL GROUP PA is an urgent care clinic center in Edgewater, NJ. SUMMIT MEDICAL GROUP PA NPI is 1811561657. The provider is registered as an organization entity type.
The provider Is Doing Business As Citymd.

The provider's business location address is:

461 RIVER RD
EDGEWATER, NJ
ZIP 07020-145
Phone: (551) 497-5681
Fax: (551) 497-5682

The provider's authorized official is Peter T Saunders .
The authorized official title is Senior Vice President and has the following contact phone number (908) 588-3930.

The CLIA number assigned to this NPI record is 31D2136408 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2021 and was last updated on 6/25/2021.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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