Summit Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07833500 Issued in NJ

Legal business name

SUMMIT FAMILY MEDICINE

Practice address

29 South St
Floor 1
New Providence, NJ 07974-1940

Phone

(908) 464-4200

Fax

(908) 464-1332

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Stoll, MD

Title

Owner

Phone

(908) 464-4200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396769790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SOUTH ST",
            "address_2": "FLOOR 1",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741940",
            "telephone_number": "908-464-4200",
            "fax_number": "908-464-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SOUTH ST",
            "address_2": "FLOOR 1",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741940",
            "telephone_number": "908-464-4200",
            "fax_number": "908-464-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-464-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07833500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Moskowitz MD PA
• Nina Strazdas, LCSW
• Ira Strenger
• Jennifer Stuart, LCSW
• Dara Sucoff, LCSW
• Summit Medical Group PA
• Summit Podiatry Group, PA
• Summit Radiological Associates, P.a. (Westfield Imaging Center)
• Summit Speech School
• Nicole Danielle Swain, LPC

• Family Medicine Physician in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Family Medicine 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.