SUMMIT MEDICAL GROUP PA
NPI 1558055533
Clinic/Center - Urgent Care in Brick, NJ

NPI Status: Active since June 05, 2023

Contact Information

856 ROUTE 70
BRICK, NJ
ZIP 08724
Phone: (732) 226-8581
Fax: (908) 382-1773

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 31D2285351
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-10-2027

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 Brick, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1558055533 assigned on June 2023. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jeffrey D Lebenger (Ceo)

NPI
1558055533
Provider Name
SUMMIT MEDICAL GROUP PA
Entity Type
Organization
Location Address
856 ROUTE 70 BRICK, NJ 08724
Location Phone
(732) 226-8581
Location Fax
(908) 382-1773
Mailing Address
1 DIAMOND HILL RD BERKELEY HEIGHTS, NJ 07922
Mailing Phone
(908) 588-3635
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-05-2023
Last Update Date
06-05-2023
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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
(908) 790-6567

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
31D2285351
Facility Type
Physician Office
Certificate Effective Date
July 11, 2025
Certificate Expiration Date
July 10, 2027
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 1558055533, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 5 → 10 → 1 0 → 0 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 0 + 5 + 1 + 0 + 5 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1558055533.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558055533, enumerated as an "organization" on June 05, 2023.

The provider is located at 856 ROUTE 70 BRICK, NJ 08724 and the phone number is (732) 226-8581.

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