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SUMMIT MEDICAL GROUP PA
NPI 1063134492
Durable Medical Equipment & Medical Supplies in Northvale, NJ

Active since September 13, 2022CLIA 31D2257443 · Waiver
273 LIVINGSTON STREET, NORTHVALE, NJ 07647(201) 381-5370 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summit Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT MEDICAL GROUP PA (NPI 1063134492), doing business as Citymd, is a healthcare organization registered as a durable medical equipment & medical supplies in Northvale, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063134492
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address273 LIVINGSTON STREETNorthvale, NJ 07647
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(201) 381-5370
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1063134492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

273 LIVINGSTON STREET, Northvale, NJ 07647
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Other Names 1

Doing Business AsCitymd

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2257443

Summit Medical Group, PA D/B/A Citymd · Watchung, NJ
Active · expires Apr 4, 2028
CLIA Number31D2257443
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAbel Cherian
Laboratory Phone(201) 381-5370
Laboratory LocationSummit Medical Group, PA D/B/A Citymd1640 Route 22, Watchung, NJ 07069
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT MEDICAL GROUP PA
Clinic/Center (Urgent Care)
273 LIVINGSTON STREET
NORTHVALE, NJ 07647
Bergen County (201) 381-5370
WILLIAM EDWARD FISHER PA
Physician Assistant
273 LIVINGSTON STREET
NORTHVALE, NJ 07647
Bergen County (551) 497-5683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Medical Group PA's NPI number?

The NPI number for Summit Medical Group PA is 1063134492. It was assigned to this organization in the NPPES registry on September 13, 2022. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 273 Livingston Street, Northvale, NJ 07647. The listed phone number is (201) 381-5370.

What is Summit Medical Group PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Summit Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2257443) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Medical Group PA was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.