Organization Active NPI

Summit Neurotherapy

  • Health Service Clinic/Center
  • Cranford, NJ
National Provider Identifier
1356082754
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SUMMIT NEUROTHERAPY
Practice address
11 Commerce Dr
Cranford, NJ 07016-3501
Phone
(908) 209-0684
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Dr. James Messina, PH.D.NPI 1043696354
Title
Sole Member
Phone
(908) 209-6842

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

11 Commerce Dr
Cranford, NJ 07016-3501

Mailing address

45 Nomahegan Dr
Westfield, NJ 07090-1007
Phone (908) 209-6842

Other practice location 1

189 Elm St
Westfield, NJ 07090-3145
Phone (908) 209-6842

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fbangura@trinitas.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223004659 NJ Part B Supplier - Clinic/Group Practice 7517452881 Receives reassigned benefits from 2 practitioners
Practice locations: Fanwood, NJ

National Provider Directory

National Provider Directory

Locations

313 South Ave
Fanwood, NJ 07023
Phone (908) 209-6842

189 Elm St
Westfield, NJ 07090
Phone (908) 233-5500

Practitioners & affiliated clinicians

Practitioners 2

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1356082754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NOMAHEGAN DR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901007",
            "telephone_number": "908-209-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COMMERCE DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163501",
            "telephone_number": "908-209-0684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Elm St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070903145",
            "country_code": "US",
            "telephone_number": "908-209-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT NEUROTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "908-209-6842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fbangura@trinitas.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 Commerce Dr",
            "city": "Cranford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070163501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.