SUMMIT MEDICAL GROUP PA
NPI 1366237877
Durable Medical Equipment & Medical Supplies in Bridgewater, NJ

Active since April 14, 2025CLIA 31D2090805 · Waiver
630 COMMONS WAY, BRIDGEWATER, NJ 08807(908) 685-8500 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1366237877) is a healthcare organization registered as a durable medical equipment & medical supplies in Bridgewater, New Jersey and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Swahili Henry, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1366237877
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address630 COMMONS WAYBridgewater, NJ 08807-2806
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Organization SubpartYes
Authorized OfficialSwahili HenryDirector Of Provider Enrollment · (212) 913-0828
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1366237877 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.

630 COMMONS WAY, Bridgewater, NJ 08807

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 31D2090805

Summit Medical Group PA Dba Summit Health · Bridgewater, NJ
Active · expires Jan 29, 2027
CLIA Number31D2090805
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorJill Gora
Laboratory Phone(908) 277-8692
Laboratory LocationSummit Medical Group PA Dba Summit Health630 Commons Way Attn Smg - Bridgewater Family Medicine, Bridgewater, NJ 08807
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 2

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

Occupational Therapist
630 COMMONS WAY
BRIDGEWATER, NJ 08807
Physical Therapist
630 COMMONS WAY
BRIDGEWATER, NJ 08807

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 1366237877. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 630 Commons Way, Bridgewater, NJ 08807. The listed phone number is (908) 685-8500.

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 31D2090805) is associated with this NPI, valid through January 29, 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 April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.