Active NPI
Summit Urologic Associates
- Specialist
- Summit, NJ
National Provider Identifier
1043350473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA052941
- Legal business name
- SUMMIT UROLOGIC ASSOCIATES
- Practice address
- 475 Springfield Ave
Summit, NJ 07901-2600 - Phone
- (908) 273-8854
- Fax
- (908) 273-4585
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Thomas Gianis Jr., M.D.
- Title
- President
- Phone
- (908) 273-8854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA052941 | NJ | Primary |
Addresses
Primary practice location
475 Springfield Ave
Summit, NJ 07901-2600
Mailing address
475 Springfield Ave
Summit, NJ 07901-2600
Phone (908) 273-8854
National Provider Directory
National Provider DirectoryLocations
475 Springfield Ave
Ste 110
Summit, NJ 07901
Phone (908) 273-8854
475 Springfield Ave
Summit, NJ 07901
Phone (908) 273-8854
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Summit, NJ
- NPI 1366530693
-
- Anatomic Pathology & Clinical Pathology Physician
- Summit, NJ
- NPI 1407940240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043350473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012600",
"telephone_number": "908-273-8854",
"fax_number": "908-273-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012600",
"telephone_number": "908-273-8854",
"fax_number": "908-273-4585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT UROLOGIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIANIS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-273-8854",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA052941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
- Summit Physical Therapy
- Summit Plastic Surgery, PC
- Summit Psychological Services PA
- Summit Psychotherapy Association
- Summit Sport and Spine LLC (Summit Sport & Spine)
- Sunrise of Summit, LLC (Sunrise of Summit)
- Robert Sussman, M.D.
- Phuong T Sutherland, M.D.
- Syeda I Hasan, M.D.P.C
- Mica Sylvester, MS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.