SUMMIT MEDICAL GROUP PA
NPI 1396315040
Durable Medical Equipment & Medical Supplies in New Providence, NJ

Q: What is Summit Medical Group PA's NPI number?

The NPI number for Summit Medical Group PA is 1396315040. It was assigned to this organization in the NPPES registry on June 25, 2021.

Q: 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.

Active since June 25, 2021

890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974(908) 277-8871 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Summit Medical Group Pa NPPES

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

SUMMIT MEDICAL GROUP PA (NPI 1396315040) is a healthcare organization registered as a durable medical equipment & medical supplies in New Providence, New Jersey and active in the NPI registry since June 2021. The organization lists Peter T Saunders, Senior Vp, as its authorized official.

NPPES Registry Identity

NPI1396315040

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSUMMIT MEDICAL GROUP PA

Location Address890 MOUNTAIN AVENew Providence, NJ 07974-1218

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(908) 277-8871

Organization SubpartYes

Authorized OfficialPeter T SaundersSenior Vp · (908) 588-3930

Enumeration DateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1396315040 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.

890 MOUNTAIN AVE, New Providence, NJ 07974

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Medical Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20221020001233DME · Physician - PodiatryDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

MS. MARGARET S CLARKE LPC

Counselor (Addiction (Substance Use Disorder))