SUMMIT MEDICAL GROUP PA
NPI 1093436404
Durable Medical Equipment & Medical Supplies in West Orange, NJ

Active since September 06, 2022CLIA 31D1101685 · Waiver
741 NORTHFIELD AVE STE 200, WEST ORANGE, NJ 07052(973) 609-5782 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1093436404) is a healthcare organization registered as a durable medical equipment & medical supplies in West Orange, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Peter T Saunders, Senior Vp, as its authorized official.

NPPES Registry Identity

NPI1093436404
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address741 NORTHFIELD AVE STE 200West Orange, NJ 07052-1104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Organization SubpartYes
Authorized OfficialPeter T SaundersSenior Vp · (908) 588-3930
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 2, 2022
NPI 1093436404 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.
741 NORTHFIELD AVE STE 200, West Orange, NJ 07052

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 31D1101685

Summit Medical Group, PA · West Orange, NJ
Active · expires Sep 22, 2026
CLIA Number31D1101685
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorShetal Mansuria
Laboratory Phone(908) 312-9107
Laboratory LocationSummit Medical Group, PA1500 Pleasant Valley Way, West Orange, NJ 07052
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1093436404. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 741 Northfield Ave Ste 200, West Orange, NJ 07052. The listed phone number is (973) 609-5782.

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 31D1101685) is associated with this NPI, valid through September 22, 2026. 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 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.