SUMMIT SURGICAL CENTER, LLC
NPI 1073526208
Clinic/Center - Ambulatory Surgical in Marlton, NJ

NPI Status: Active since August 15, 2006

Contact Information

5000 SAGEMORE DRIVE
SUITE 106
MARLTON, NJ
ZIP 08053
Phone: (856) 983-4263
Fax: (856) 983-9362

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 31D0118241
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-31-2026

About SUMMIT SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Summit Surgical Center, Llc, a provider established in Marlton, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1073526208 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 24019 (NJ). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Stephanie Fendrick (Co-chair)

NPI
1073526208
Provider Legal Name
SUMMIT SURGICAL CENTER, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
5000 SAGEMORE DRIVE SUITE 106 MARLTON, NJ 08053
Location Phone
(856) 983-4263
Location Fax
(856) 983-9362
Mailing Address
200 BOWMAN DRIVE SUITE D160 VOORHEES, NJ 08043
Mailing Phone
(856) 247-7838
Mailing Fax
(856) 983-9362
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-15-2006
Last Update Date
03-26-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
24019
License State
NJ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHANIE FENDRICK

Authorized Official Title
CO-CHAIR
Authorized Official Phone
(856) 247-7838

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0001480000OTHER (01)NJKEYSTONE
311051OTHER (01)NJHORIZON BCBS
000K06569OTHER (01)NJ1ST OPTION/PHS
7287328OTHER (01)NJAETNA PPO
0001480000OTHER (01)NJAMERIHEALTH
ANC844OTHER (01)NJOXFORD
2683282OTHER (01)NJAETNA HMO
490002554OTHER (01)NJMEDICARE RAILROAD
0001480000OTHER (01)NJHIGHMARK
1372571009MOTHER (01)NJCIGNA
IL2400OTHER (01)NJHEALTHNET

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0118241
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
FRANCES E. KASARDA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073526208, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 0 + 2 + 1 + 2 + 2 + 0 + 24 = 42

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1073526208.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Surgery (Surgery of the Hand)
5000 SAGEMORE DRIVE, SUITE 103
MARLTON, NJ 08053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073526208, enumerated as an "organization" on August 15, 2006.

The provider is located at 5000 SAGEMORE DRIVE SUITE 106 MARLTON, NJ 08053 and the phone number is (856) 983-4263.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Aetna,. Please consult your insurance carrier or call the provider to verify.