Active NPI
Summit Cardiology, LLC
- Cardiovascular Disease Physician
- Summit, NJ
National Provider Identifier
1285729806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SUMMIT CARDIOLOGY, LLC
- Practice address
- One Springfield Ave. Ste. 2a
Summit, NJ 07901-4055 - Phone
- (908) 273-1999
- Fax
- (908) 273-1332
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark J Krell, MD
- Title
- Owner
- Phone
- (908) 273-1999
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
One Springfield Ave. Ste. 2a
Summit, NJ 07901-4055
Mailing address
One Springfield Ave. Ste. 2a
Summit, NJ 07901-4055
Phone (908) 273-1999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9581 | Other | NJ | RAILROAD MEDICARE |
| 0094838 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Springfield Ave
Ste 2A
Summit, NJ 07901
Phone (908) 273-1999
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Summit, NJ
- NPI 1558456822
-
- Registered Dietitian
- Summit, NJ
- NPI 1235487075
-
- Internal Medicine Physician
- New Providence, NJ
- NPI 1457411019
-
- Internal Medicine Physician
- Summit, NJ
- NPI 1093704934
-
- Adult Health Nurse Practitioner
- Summit, NJ
- NPI 1396119152
-
- Internal Medicine Physician
- Summit, NJ
- NPI 1922066182
-
- Internal Medicine Physician
- Summit, NJ
- NPI 1992332431
-
- Internal Medicine Physician
- Summit, NJ
- NPI 1699763920
-
- Nurse Practitioner
- Hackettstown, NJ
- NPI 1265965172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285729806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE SPRINGFIELD AVE. STE. 2A",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079014055",
"telephone_number": "908-273-1999",
"fax_number": "908-273-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE SPRINGFIELD AVE. STE. 2A",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079014055",
"telephone_number": "908-273-1999",
"fax_number": "908-273-1332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT CARDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRELL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-273-1999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA9581",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094838",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.