NPIMap

Organization Active NPI

Summit Medical Group PA

Doing business as Citymd

  • Urgent Care Clinic/Center
  • Manahawkin, NJ
National Provider Identifier
1053985804
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SUMMIT MEDICAL GROUP PA
Doing business as
Citymd
Practice address
712 E Bay Ave
Manahawkin, NJ 08050-3447
Phone
(609) 978-0242
NPI assigned
May 17, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT MEDICAL GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

712 E Bay Ave
Manahawkin, NJ 08050-3447

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other names 1

  • CITYMD Doing business as

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1053985804",
    "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": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E BAY AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503447",
            "telephone_number": "609-978-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT MEDICAL GROUP PA",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SENIOR VICE ENROLLMENT",
        "authorized_official_telephone_number": "908-588-3930"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITYMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.