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Summit Medical Group PA

Organization Active NPI Durable Medical Equipment & Medical Supplies · West Orange, NJ

NPI 1245950799 · NPPES record last updated Sep 2, 2022

Key facts

NPI
1245950799
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SUMMIT MEDICAL GROUP PA
Practice address
1500 Pleasant Valley Way
West Orange, NJ 07052-2956
Phone
(973) 577-5954
NPI assigned
Sep 2, 2022
Organization subpart
Yes
Parent organization (as reported)
SUMMIT MEDICAL GROUP PA

Authorized official

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

Other NPIs with the same Medicare PAC ID 23

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1,204

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

View all 1,204

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1101685Summit Medical Group, PA
1500 Pleasant Valley Way, West Orange, NJ 07052		Certificate of waiverSep 22, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Summit Medical Group PA
1500 Pleasant Valley Way, West Orange, NJ 07052 · (973) 669-5600		 Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthose… Accepts assignment
Participating since Jan 1, 1993

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240201001290 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery
DME Supplier - Physician - Podiatry
DME Supplier - Other		 5395642276 Practice locations: West Orange, NJ

National Provider Directory

Tax ID family
Summit Medial Group PA (84 organizations share this tax ID)
Part of
Summit Medial Group PA

Specialties & licenses

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

Addresses

Primary practice location

1500 Pleasant Valley Way
West Orange, NJ 07052-2956

Mailing address

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

Other providers in West Orange, NJ

All providers in West Orange, NJ · Durable Medical Equipment & Medical Supplies in New Jersey

Sources for this page

Verify at the official NPI Registry.