Organization Active NPI

Summer Health Medical Group of New Jersey, P.C.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1528880812
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUMMER HEALTH MEDICAL GROUP OF NEW JERSEY, P.C.
Practice address
153 W 27TH St Ste 702
New York, NY 10001-6255
Phone
(908) 312-3755
NPI assigned
Oct 28, 2024
Organization subpart
Yes
Parent organization
SUMMER HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Leo Damasco
Title
Head of Medical Group
Phone
(240) 338-0567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

153 W 27TH St Ste 702
New York, NY 10001-6255

Mailing address

169 Madison Ave Ste 11579
New York, NY 10016-5101

National Provider Directory

National Provider Directory

Locations

153 W 27th St
Ste 702
New York, NY 10001
Phone (908) 312-3755

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1528880812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 11579",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 27TH ST STE 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016255",
            "telephone_number": "908-312-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER HEALTH MEDICAL GROUP OF NEW JERSEY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMER HEALTH, INC.",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DAMASCO",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "HEAD OF MEDICAL GROUP",
        "authorized_official_telephone_number": "240-338-0567"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.