SUMMIT MEDICAL GROUP PA
NPI 1376388504
Clinic/Center - Urgent Care in Newark, NJ

Active since June 28, 2024CLIA 31D2307159 · Waiver
200-214 WARREN ST, NEWARK, NJ 07103(551) 220-6545 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 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 1376388504), doing business as Citymd, is a healthcare organization registered as an urgent care in Newark, New Jersey and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376388504
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address200-214 WARREN STNewark, NJ 07103
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateJune 28, 2024
NPPES CertifiedJune 20, 2024
NPI 1376388504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
200-214 WARREN ST, Newark, NJ 07103

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 31D2307159

Summit Medical Group, PA Dba Citymd · Newark, NJ
Active · expires Jul 1, 2028
CLIA Number31D2307159
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorAbel Cherian
Laboratory Phone(551) 220-6545
Laboratory LocationSummit Medical Group, PA Dba Citymd200-214 Warren Street, Newark, NJ 07103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1376388504. It was assigned to this organization in the NPPES registry on June 28, 2024. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 200-214 Warren St, Newark, NJ 07103. The listed phone number is (551) 220-6545.

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 31D2307159) is associated with this NPI, valid through July 1, 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 June 28, 2024. 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.