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Summit Medical Group PA

Organization Active NPI Durable Medical Equipment & Medical Supplies · Florham Park, NJ

NPI 1932838679 · NPPES record last updated Jun 8, 2022

Key facts

NPI
1932838679
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SUMMIT MEDICAL GROUP PA
Practice address
140 Park Ave
Florham Park, NJ 07932-1049
Phone
(908) 588-3635
NPI assigned
Jun 8, 2022
Organization subpart
Yes
Parent organization (as reported)
SUMMIT MEDICAL GROUP PA

Authorized official

Name
Peter T Saunders
Title
Senior VP
Phone
(908) 588-3635

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1,204

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,204

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230606002555 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery
DME Supplier - Physician - Physical and Rehabilitation
DME Supplier - Other		 5395642276 Practice locations: Florham Park, NJ

National Provider Directory

Tax ID family
Summit Medial Group PA (84 organizations share this tax ID)
Part of
Summit Medial Group PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

140 Park Ave
Florham Park, NJ 07932-1049

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 588-3635

Other providers in Florham Park, NJ

All providers in Florham Park, NJ · Durable Medical Equipment & Medical Supplies in New Jersey

Sources for this page

Verify at the official NPI Registry.