Summit Medical Group PA
Organization Active NPI Durable Medical Equipment & Medical Supplies · Newark, NJ
NPI 1942921796 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1942921796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- SUMMIT MEDICAL GROUP PA
- Practice address
- 617 Broad St
Newark, NJ 07102-4403 - Phone
- (862) 246-7940
- NPI assigned
- Sep 9, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT MEDICAL GROUP PA
Authorized official
- Name
- Jeffrey D Lebenger
- Title
- Ceo
- Phone
- (908) 790-6567
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Summit Medial Group PA
- Part of
- Summit Medial Group PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
617 Broad St
Newark, NJ 07102-4403
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 588-3635
Other names
- CityMD
Other providers in Newark, NJ
- Harsh Sule
- Patryk Sulich
- Lauren Sullivan
- Richard Terence Sullivan
- Summit Medical Group PA
- Angela Sun
- Xinlai Sun
- Ye-Ming Jimmy Sun
- Francis P. Sunaryo
- Rajkumar Sundaraamoorthy Srinivasan
All providers in Newark, NJ · Durable Medical Equipment & Medical Supplies in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.