Summit Health & Rehab LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUMMIT HEALTH & REHAB LLC

Practice address

12 Bank St Ste 103
Summit, NJ 07901-3661

Phone

(914) 376-6100

Fax

(914) 470-5056

NPI assigned

Jan 28, 2019

Last updated

Jan 28, 2019By 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

Melissa Nieli

Title

Credentialing

Phone

(914) 376-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1861956526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 BLOOMFIELD AVE # 342",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066701",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BANK ST STE 103",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013661",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Cardiology, LLC
• Summit Dental Partners
• Summit Dentist
• Summit Dermatology LLC
• Summit Eye & Optical LLC
• Summit Hearing Aid Center LLC
• Summit Internal Medicine LLC
• Summit Oaks Hospital
• Summit Oaks Hospital Inc
• Summit Oaks Hospital, Inc

• Physical Medicine & Rehabilitation Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.