Summit OB GYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA07006900 Issued in NJ

Legal business name

SUMMIT OB GYN LLC

Practice address

331 Summit Ave
Hackensack, NJ 07601-1429

Phone

(201) 457-2300

Fax

(201) 457-1715

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Roohi Kamal, MD

Title

Physician

Phone

(201) 457-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306892856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011429",
            "telephone_number": "201-457-2300",
            "fax_number": "201-457-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011429",
            "telephone_number": "201-457-2300",
            "fax_number": "201-457-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT OB GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "ROOHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-457-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07006900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2680773000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Avenue Medical PA
• Summit Dental P.C.
• Summit Family Dentistry MGMT Inc
• Summit Medical Group PA
• Summit Medical Group PA
• Arony Sun, MD
• Shantel Janeese Suncar, M.D.
• Linda Sung, APN
• Woojae Sung, DPT
• Bhanu K Sunku, MD

• Obstetrics & Gynecology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.