Summit Medical Arts Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05689400 Issued in NJ

Legal business name

SUMMIT MEDICAL ARTS ASSOCIATES, LLC

Practice address

9225 Kennedy Blvd
North Bergen, NJ 07047-5361

Phone

(201) 453-2800

Fax

(201) 453-0182

NPI assigned

Sep 29, 2006

Last updated

Nov 30, 2016By 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

Dr. Kamalesh Shah, M.D.NPI 1891780912

Title

Owner

Phone

(201) 453-2800

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamalesh R Shah, M.D.

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1891780912

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Tanmay Pradip Gosalia, D.O., M.P.H., M.A.

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1184064347
  Medicare reassignment Care Compare group NPD
• Orestes Sanchez, MD

  • Diagnostic Radiology Physician
  • Paterson, NJ
  • NPI 1376530857
  Medicare reassignment

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1750473146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-453-2800",
            "fax_number": "201-453-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-453-2800",
            "fax_number": "201-453-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL ARTS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KAMALESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-453-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05689400",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA3560900",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA05689400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA3560900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035793",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana I Suarez-Ligon, MD
• Sergio Alberto Suarez
• Sugandika Thilokeshwary Subawickrama, DSL
• Lokeash Subramani Shobana, MD.,
• Jeannette A. Sujovolsky, D.O.
• Christina Sun
• Hee Chang Sung, M.D.
• Sunrise Community Care PC
• Patrick John Swaney, DO
• Syed S Jafri MD

• Internal Medicine Physician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.