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SUMMIT AVENUE MEDICAL PA
NPI 1275531550
Internal Medicine in Hackensack, NJ

Active since July 12, 2005CLIA 31D0695875 · Waiver
5 SUMMIT AVE, STE 1, HACKENSACK, NJ 07601(201) 646-0001(201) 646-9101 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Avenue Medical Pa NPPES

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

SUMMIT AVENUE MEDICAL PA (NPI 1275531550) is a healthcare organization registered as an internal medicine in Hackensack, New Jersey and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Sharon B Levont, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275531550
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUMMIT AVENUE MEDICAL PA
Location Address5 SUMMIT AVE, STE 1Hackensack, NJ 07601-8503
Mailing Address5 Summit Ave, Ste 1Hackensack, NJ 07601-8503 · (201) 646-0001 · Fax (201) 646-9101
Phone(201) 646-0001
Fax(201) 646-9101
Organization SubpartNo
Authorized OfficialSharon B LevontOffice Manager · (201) 646-0001
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1275531550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5 SUMMIT AVE, Hackensack, NJ 07601
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Other Identifiers 3

OtherCD1762Railroad Medicare
Other0127584001Amerihealth
Other2514Aetna Us Healthcare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 31D0695875

Summit Ave Medical · Hackensack, NJ
Active · expires Mar 31, 2028
CLIA Number31D0695875
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorEdward R. Prins
Laboratory Phone(201) 646-0001
Laboratory LocationSummit Ave Medical5 Summit Ave, Suite 101, Hackensack, NJ 07601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

DR. SANJEEV KAUL MD
Surgery (Surgical Critical Care)
5 SUMMIT AVE, SUITE 105
HACKENSACK, NJ 07601
Bergen County (201) 996-2900
PREMIER OB/GYN GROUP
Obstetrics & Gynecology (Obstetrics)
5 SUMMIT AVE, SUITE 100
HACKENSACK, NJ 07601
Bergen County (201) 289-5906
SARASWATI D. DAYAL, MD, LLC
Surgery
5 SUMMIT AVE, SUITE 105
HACKENSACK, NJ 07601
Bergen County (201) 996-2900
DR. VICTOR VALDA MD
Surgery (Pediatric Surgery)
5 SUMMIT AVE, SUITE # 6
HACKENSACK, NJ 07601
Bergen County (201) 343-6885
GEORGE STOUPAKIS MD
Internal Medicine (Cardiovascular Disease)
5 SUMMIT AVE, SUITE 200
HACKENSACK, NJ 07601
Bergen County (201) 343-7001
YONATHAN SHIMRON
Nurse Practitioner (Psychiatric/Mental Health)
5 SUMMIT AVE
HACKENSACK, NJ 07601
Bergen County (201) 658-3065
DR. ADAM S GOLDFARB MD
Internal Medicine
5 SUMMIT AVE
HACKENSACK, NJ 07601
Bergen County (201) 646-0001
KELLY RIPPEY M.D.
Surgery
5 SUMMIT AVE, SUITE 105
HACKENSACK, NJ 07601
Bergen County (551) 996-2900

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 Avenue Medical PA's NPI number?

The NPI number for Summit Avenue Medical PA is 1275531550. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Summit Avenue Medical PA located?

Summit Avenue Medical PA is located at 5 Summit Ave Ste 1, Hackensack, NJ 07601. The listed phone number is (201) 646-0001.

What is Summit Avenue Medical PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Summit Avenue Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0695875) is associated with this NPI, valid through March 31, 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 Avenue Medical PA was last updated on July 21, 2022. 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.