Summit Diagnostic and Physical Medicine PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUMMIT DIAGNOSTIC AND PHYSICAL MEDICINE PC

Practice address

559 Summit Ave
Jersey City, NJ 07306-2701

Phone

(201) 653-5031

Fax

(201) 653-4677

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frank A Rotella, DO

Title

Owner

Phone

(201) 653-5031

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043379142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062701",
            "telephone_number": "201-653-5031",
            "fax_number": "201-653-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062701",
            "telephone_number": "201-653-5031",
            "fax_number": "201-653-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DIAGNOSTIC AND PHYSICAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-653-5031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Baglivo Sullivan, M.A., CCC-SLP
• Viktor Sulovari, DMD
• Karim Sultan
• Ronald Sultan, M.D.
• Noushin Sultana, M.D.
• Summit Medical Group PA
• Summit Medical Group PA
• Summit Pharmacy Group LLC
• Summit Pharmacy Group LLC
• Sun Up Chiropractic and Physical Therapy LLC

• All providers in Jersey City, NJ
• Physical Medicine & Rehabilitation Physician in New Jersey

• 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.

Verify at the official NPI Registry.