165 SUMMIT INTERNAL MEDICINE CLINIC PA
NPI 1558690446
Clinic/Center - Primary Care in Hackensack, NJ

Active since December 23, 2009
165 SUMMIT AVE, HACKENSACK, NJ 07601(201) 488-5892(201) 488-0022 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About 165 Summit Internal Medicine Clinic Pa NPPES

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

165 SUMMIT INTERNAL MEDICINE CLINIC PA (NPI 1558690446) is a healthcare organization registered as a primary care in Hackensack, New Jersey and active in the NPI registry since December 2009. The organization lists Aret Yegise Kahyaoglu, President, as its authorized official.

NPPES Registry Identity

NPI1558690446
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business Name165 SUMMIT INTERNAL MEDICINE CLINIC PA
Location Address165 SUMMIT AVEHackensack, NJ 07601-1311
Mailing Address165 Summit AveHackensack, NJ 07601-1311 · (201) 488-5892 · Fax (201) 488-0022
Fax(201) 488-0022
Organization SubpartNo
Authorized OfficialAret Yegise KahyaogluPresident · (201) 488-5892
Enumeration DateDecember 23, 2009
✔ NPI 1558690446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · MA61265NJ
165 SUMMIT AVE, Hackensack, NJ 07601

Other Identifiers 1

Medicare UPING58358NJ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

165 Summit Internal Medicine Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 165 Summit Internal Medicine Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1811023682
165 SUMMIT AVE
Hackensack, NJ 07601
(201) 488-5892
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 165 Summit Internal Medicine Clinic PA's NPI number?

The NPI number for 165 Summit Internal Medicine Clinic PA is 1558690446. It was assigned to this organization in the NPPES registry on December 23, 2009.

Where is 165 Summit Internal Medicine Clinic PA located?

165 Summit Internal Medicine Clinic PA is located at 165 Summit Ave, Hackensack, NJ 07601. The listed phone number is (201) 488-5892.

What is 165 Summit Internal Medicine Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is 165 Summit Internal Medicine Clinic PA enrolled in Medicare?

Yes. 165 Summit Internal Medicine Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 165 Summit Internal Medicine Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to 165 Summit Internal Medicine Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 165 Summit Internal Medicine Clinic PA was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.