SUMMIT MEDICAL GROUP PA
NPI 1477210227
Clinic/Center - Urgent Care in Northvale, NJ

NPI Status: Active since November 29, 2021

Contact Information

273 LIVINGSTON STREET
NORTHVALE, NJ
ZIP 07647
Phone: (201) 381-5370

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 31D2257443
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2026

About SUMMIT MEDICAL GROUP PA

This page provides the complete NPI Profile along with additional information for Summit Medical Group Pa, a provider established in Northvale, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1477210227 assigned on November 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jeffrey D Lebenger (Ceo)

NPI
1477210227
Provider Name
SUMMIT MEDICAL GROUP PA
Entity Type
Organization
Location Address
273 LIVINGSTON STREET NORTHVALE, NJ 07647
Location Phone
(201) 381-5370
Mailing Address
1345 RXR PLZ UNIONDALE, NY 11556
Mailing Phone
(516) 453-0435
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-29-2021
Last Update Date
11-29-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY D LEBENGER

Authorized Official Title
CEO
Authorized Official Phone
(516) 453-0435

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2257443
Facility Type
Physician Office
Certificate Effective Date
April 05, 2024
Certificate Expiration Date
April 04, 2026
Laboratory Director
ABEL CHERIAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Medical Group Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477210227, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 4 + 1 + 0 + 2 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1477210227.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
273 LIVINGSTON STREET
NORTHVALE, NJ 07647
Physician Assistant
273 LIVINGSTON STREET
NORTHVALE, NJ 07647

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477210227, enumerated as an "organization" on November 29, 2021.

The provider is located at 273 LIVINGSTON STREET NORTHVALE, NJ 07647 and the phone number is (201) 381-5370.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.