Summit Avenue Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUMMIT AVENUE MEDICAL PA

Practice address

5 Summit Ave
Ste 1
Hackensack, NJ 07601-8503

Phone

(201) 646-0001

Fax

(201) 646-9101

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon B Levont

Title

Office Manager

Phone

(201) 646-0001

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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

• Kalpana Cheeti, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hackensack, NJ
  • NPI 1649352857
  Medicare reassignment Care Compare group NPD
• Adam S Goldfarb, MD

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1275534174
  Medicare reassignment Care Compare group NPD
• Edward R Prins, MD

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1619978905
  Medicare reassignment Care Compare group NPD
• Jeffrey Schlesinger, D.C.

  • Chiropractor
  • Hackensack, NJ
  • NPI 1427058247
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275531550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVE",
            "address_2": "STE 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018503",
            "telephone_number": "201-646-0001",
            "fax_number": "201-646-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVE",
            "address_2": "STE 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018503",
            "telephone_number": "201-646-0001",
            "fax_number": "201-646-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT AVENUE MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEVONT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-646-0001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0127584001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD1762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Sugerman, PSYD
• Ayah Suleiman
• Anastassia D. Sullivan, MD
• Darren Lyndon Sultan, MD
• Samuel Sultan, M.D.
• Summit Dental P.C.
• Summit Family Dentistry MGMT Inc
• Summit Medical Group PA
• Summit Medical Group PA
• Summit OB GYN LLC

• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.