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CITYMD
NPI 1255012613
Clinic/Center - Urgent Care in Eatontown, NJ

Active since July 28, 2023CLIA 31D2289080 · Waiver
241-245 ROUTE 35, EATONTOWN, NJ 07724(201) 590-2244(732) 676-7838 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Jul 28, 2023 (2 updates tracked since 2023).

About Citymd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITYMD (NPI 1255012613) is a healthcare organization registered as an urgent care in Eatontown, New Jersey and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255012613
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address241-245 ROUTE 35Eatontown, NJ 07724
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(201) 590-2244
Fax(732) 676-7838
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateJuly 28, 2023
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1255012613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
241-245 ROUTE 35, Eatontown, NJ 07724
Open in Google Maps ↗

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 31D2289080

Summit Medical Group, PA Dba Citymd · Eatontown, NJ
Active · expires Sep 5, 2027
CLIA Number31D2289080
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorAbel Cherian
Laboratory Phone(201) 590-2244
Laboratory LocationSummit Medical Group, PA Dba Citymd241-245 Route 35, Eatontown, NJ 07724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. MICHELLE ALICIA PINTO RPA-C
Physician Assistant (Medical)
241-245 ROUTE 35
EATONTOWN, NJ 07724
Monmouth County (201) 590-2244

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 1255012613. It was assigned to this organization in the NPPES registry on July 28, 2023. The provider is doing business as Citymd.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 241-245 Route 35, Eatontown, NJ 07724. The listed phone number is (201) 590-2244.

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 31D2289080) is associated with this NPI, valid through September 5, 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 August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.