NPIMap

Organization Active NPI

Summit Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
National Provider Identifier
1043930555
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUMMIT MEDICAL GROUP PA
Practice address
211 Essex St Ste 101
Hackensack, NJ 07601-3244
Phone
(551) 999-6433
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT MEDICAL GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Peter T Saunders
Title
Senior VP
Phone
(908) 588-3930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

211 Essex St Ste 101
Hackensack, NJ 07601-3244

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 588-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602000937 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5395642276 Practice locations: Hackensack, NJ

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Summit Medical GRP PA84 organizations share this tax ID, including this one
Part of
Summit Medical GRP PA

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

630 Commons Way
Bridgewater, NJ 08807
Phone (908) 603-8697

67 Walnut Ave
Clark, NJ 07066
Phone (732) 388-7300

75 Bloomfield Ave
Ste 102
Denville, NJ 07834
Phone (973) 664-9899

140 Park Ave
Fl 2
Florham Park, NJ 07932
Phone (973) 793-8992

2003 Washington Valley Rd
Martinsville, NJ 08836
Phone (732) 868-1100

1 Seymour St
Montclair, NJ 07042
Phone (973) 302-6025

46 E Somerset St
Raritan, NJ 08869
Phone (908) 575-1400

120 Summit Ave
Summit, NJ 07901
Phone (908) 790-6535

34 Mountain Blvd
Ste B
Warren, NJ 07059
Phone (908) 769-2535

1500 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 325-3422

Practitioners & affiliated clinicians

Practitioners 1,372

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,372

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1043930555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-588-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 101",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013244",
            "telephone_number": "551-999-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT MEDICAL GROUP PA",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "908-588-3930"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.