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SUMMIT MEDICAL GROUP PA
NPI 1194537571
Durable Medical Equipment & Medical Supplies in Fair Lawn, NJ

Active since January 23, 2025CLIA 31D2208009 · Waiver
17-17 ROUTE 208, FAIR LAWN, NJ 07410(201) 625-1560 Get Directions Write a Review

NPPES record last updated: January 23, 2025. 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 1194537571) is a healthcare organization registered as a durable medical equipment & medical supplies in Fair Lawn, New Jersey and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Swahili Henry, Director Of Provider Enrollments, as its authorized official.

NPPES Registry Identity

NPI1194537571
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address17-17 ROUTE 208Fair Lawn, NJ 07410-2820
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(201) 625-1560
Organization SubpartYes
Authorized OfficialSwahili HenryDirector Of Provider Enrollments · (212) 913-0828
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1194537571 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.
17-17 ROUTE 208, Fair Lawn, NJ 07410
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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 31D2208009

Summit Medical Group PA Dba Summit Health · Fair Lawn, NJ
Active · expires Jan 3, 2027
CLIA Number31D2208009
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorJack Cappitelli
Laboratory Phone(201) 693-4051
Laboratory LocationSummit Medical Group PA Dba Summit Health17-17 Route 208, Fair Lawn, NJ 07410
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. MATTHEW DELBERT MD
Physical Medicine & Rehabilitation
17-17 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 625-1560
ADENA ASPIR
Nurse Practitioner (Family)
17-17 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 444-5200
JESSICA M GALLO PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
17-17 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 345-7557
DR. CHARLES MARC EKSTEIN M.D.
Orthopaedic Surgery (Hand Surgery)
17-17 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 345-7557
DR. ANA CRISTINA LAUREANO M.D.
Dermatology
17-17 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 444-5200
DR. VIVEK NATARAJAN
Orthopaedic Surgery
17-17 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 254-0260

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 1194537571. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 17-17 Route 208, Fair Lawn, NJ 07410. The listed phone number is (201) 625-1560.

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 31D2208009) is associated with this NPI, valid through January 3, 2027. 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 January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.