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SUMMIT MEDICAL GROUP PA
NPI 1073235651
Durable Medical Equipment & Medical Supplies in Wall Township, NJ

Active since September 12, 2022CLIA 31D2114503 · Waiver
1825 ROUTE 35, WALL TOWNSHIP, NJ 07719(732) 280-2600 Get Directions Write a Review

NPPES record last updated: September 12, 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 1073235651), doing business as Citymd, is a healthcare organization registered as a durable medical equipment & medical supplies in Wall Township, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073235651
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address1825 ROUTE 35Wall Township, NJ 07719-3541
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(732) 280-2600
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1073235651 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.
1825 ROUTE 35, Wall Township, NJ 07719
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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 31D2114503

Summit Medical Group Dba Citymd · Wall, NJ
Active · expires Jun 14, 2028
CLIA Number31D2114503
Laboratory TypeUrgent Care Facility
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorDaniel Frogel
Laboratory Phone(732) 280-2600
Laboratory LocationSummit Medical Group Dba Citymd1825 Route 35, Wall, NJ 07719
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 5

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

MARCIA MOLONEY PA
Physician Assistant
1825 ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 222-5200
THOMPSON MEDICAL AND CHIROPRACTIC LLC
Physical Medicine & Rehabilitation
1825 ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 832-7527
RAMALAKSHMI K. NUTHI MD
Family Medicine
1825 ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 280-2600
SALVATORE PEPE IV DO
Emergency Medicine (Emergency Medical Services)
1825 ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 280-2600
SUMMIT MEDICAL GROUP PA
Clinic/Center (Urgent Care)
1825 ROUTE 35
WALL TOWNSHIP, NJ 07719
Monmouth County (732) 280-2600

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 1073235651. It was assigned to this organization in the NPPES registry on September 12, 2022. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 1825 Route 35, Wall Township, NJ 07719. The listed phone number is (732) 280-2600.

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 31D2114503) is associated with this NPI, valid through June 14, 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 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.