NPIMap

Organization Active NPI

Summitt Neuromonitoring LLC

  • Surgical Technologist
  • Glenelg, MD
National Provider Identifier
1245480409
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
SUMMITT NEUROMONITORING LLC
Practice address
14099 Patterson Farm CT
Glenelg, MD 21737
Phone
(443) 889-7470
Fax
(301) 604-7000
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Komal A Malik, MDNPI 1730339995
Title
Medical Director/Partner
Phone
(443) 889-7470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

14099 Patterson Farm CT
Glenelg, MD 21737

Mailing address

14099 Patterson Farm CT
Glenelg, MD 21737-9768
Phone (443) 889-7470

Other practice location 1

3000 Route 97
Glenwood, MD 21738
Phone (443) 889-7470

National Provider Directory

National Provider Directory

Locations

3000 Route 97
Glenwood, MD 21738
Phone (443) 889-7470

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1245480409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14099 PATTERSON FARM CT",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379768",
            "telephone_number": "443-889-7470",
            "fax_number": "301-604-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14099 PATTERSON FARM CT",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "21737",
            "telephone_number": "443-889-7470",
            "fax_number": "301-604-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Route 97",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "MD",
            "postal_code": "21738",
            "country_code": "US",
            "telephone_number": "443-889-7470",
            "fax_number": "410-489-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMITT NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PARTNER",
        "authorized_official_telephone_number": "443-889-7470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenelg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.