NPIMap

Summit Medical Group PA

Organization Active NPI Non-Pharmacy Dispensing Site · Florham Park, NJ

NPI 1487216248 · NPPES record last updated Jan 27, 2026

Key facts

NPI
1487216248
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
SUMMIT MEDICAL GROUP PA
Practice address
150 Park Ave
Florham Park, NJ 07932-1049
Phone
(973) 404-9808
NPI assigned
Jul 2, 2019
Organization subpart
Yes
Parent organization (as reported)
SUMMIT MEDICAL GROUP PA

Authorized official

Name
Swahili Henry
Title
Director of Provider Enrollment
Phone
(908) 988-0428

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0721437Summit Medical Group PA
150 Park Ave, Florham Park, NJ 07932		ComplianceJul 18, 2027

National Provider Directory

Part of
Summit Medial Group PA

Locations

150 Park Ave
Florham Park, NJ 07932
Phone (973) 404-9980

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

150 Park Ave
Florham Park, NJ 07932-1049

Mailing address

150 Park Ave
Florham Park, NJ 07932-1049

Other providers in Florham Park, NJ

All providers in Florham Park, NJ · Non-Pharmacy Dispensing Site in New Jersey

Sources for this page

Verify at the official NPI Registry.