SUMMIT MEDICAL GROUP PA
NPI 1205592169
Clinic/Center - Urgent Care in Watchung, NJ
About Summit Medical Group Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEDICAL GROUP PA (NPI 1205592169), doing business as Citymd, is a healthcare organization registered as an urgent care in Watchung, New Jersey and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Jeffrey D Lebenger, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 31D2260877
Summit Medical Group, PA Dba Citymd · Northvale, NJOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATCHUNG, NJ 07069
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 1205592169. It was assigned to this organization in the NPPES registry on November 15, 2021. The provider is doing business as CityMD.
Where is Summit Medical Group PA located?
Summit Medical Group PA is located at 1640 Route 22, Watchung, NJ 07069. The listed phone number is (908) 557-9806.
What is Summit Medical Group PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Summit Medical Group PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2260877) is associated with this NPI, valid through May 23, 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 November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Summit Medical Group Pa · NPI 1205592169
Urgent Care organization in Watchung, New Jersey. Organization record, active in the CMS NPPES registry since November 15, 2021.
## Identity
- **NPI:** 1205592169 (Entity type: Organization)
- **Enumerated:** November 15, 2021
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** CityMD (Doing Business As)
- **Organization subpart:** Yes (part of Summit Medical Group Pa)
- **Authorized official:** Jeffrey Lebenger, CEO
## Practice location
- **Address:** 1640 ROUTE 22, Watchung, NJ 07069-6503
- **Phone:** (908) 557-9806
## Record status
- **NPPES last updated:** November 15, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205592169) · Data from the CMS NPPES public registry.