Organization Active NPI

Summit Clinical Group LLC

  • Health Service Clinic/Center
  • Yardley, PA
National Provider Identifier
1154875755
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SUMMIT CLINICAL GROUP LLC
Practice address
25 S Main St
#167
Yardley, PA 19067-1527
Phone
(718) 382-0012
NPI assigned
Aug 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Dr. Stuart H Ditchek, M.D.
Title
Ceo
Phone
(718) 382-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

25 S Main St
#167
Yardley, PA 19067-1527

Mailing address

25 S Main St
#167
Yardley, PA 19067-1527

National Provider Directory

National Provider Directory

Locations

25 S Main St
#167
Yardley, PA 19067
Phone (718) 382-0012

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1154875755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "address_2": "#167",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "address_2": "#167",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671527",
            "telephone_number": "718-382-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CLINICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "DITCHEK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-382-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.