SUMMIT MEDICAL GROUP PA
NPI 1386365203
Durable Medical Equipment & Medical Supplies in Edgewater, NJ

Active since September 08, 2022CLIA 31D2136408 · Waiver
461 RIVER RD, EDGEWATER, NJ 07020(551) 497-6675 Get Directions Write a Review

NPPES record last updated: September 8, 2022. 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 1386365203), doing business as Citymd, is a healthcare organization registered as a durable medical equipment & medical supplies in Edgewater, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386365203
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address461 RIVER RDEdgewater, NJ 07020-1145
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
NPI 1386365203 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.
461 RIVER RD, Edgewater, NJ 07020

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 31D2136408

Summit Medical Group Dba Citymd · Edgewater, NJ
Active · expires May 31, 2028
CLIA Number31D2136408
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDaniel Frogel
Laboratory Phone(551) 313-0170
Laboratory LocationSummit Medical Group Dba Citymd461 River Road, Edgewater, NJ 07020
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 3

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

Emergency Medicine
461 RIVER RD
EDGEWATER, NJ 07020
Clinic/Center (Emergency Care)
461 RIVER RD
EDGEWATER, NJ 07020
Clinic/Center (Urgent Care)
461 RIVER RD
EDGEWATER, NJ 07020

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 1386365203. It was assigned to this organization in the NPPES registry on September 8, 2022. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 461 River Rd, Edgewater, NJ 07020. The listed phone number is (551) 497-6675.

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 31D2136408) is associated with this NPI, valid through May 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 Medical Group PA was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.