SUMMIT MEDICAL GROUP PA
NPI 1568112910
Clinical Medical Laboratory in Woodland Park, NJ

NPI Status: Active since March 28, 2022

Contact Information

1225 MCBRIDE AVE
WOODLAND PARK, NJ
ZIP 07424
Phone: (908) 273-4300

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 31D2285117
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-05-2027

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 Woodland Park, New Jersey operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1568112910 assigned on March 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jeffrey D Lebenger (Ceo)

NPI
1568112910
Provider Name
SUMMIT MEDICAL GROUP PA
Entity Type
Organization
Location Address
1225 MCBRIDE AVE WOODLAND PARK, NJ 07424
Location Phone
(908) 273-4300
Mailing Address
1 DIAMOND HILL RD BERKELEY HEIGHTS, NJ 07922
Mailing Phone
(908) 588-3635
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-28-2022
Last Update Date
03-28-2022
Code Navigator

Establishments like Summit Medical Group Pa are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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
31D2285117
Facility Type
Physician Office
Certificate Effective Date
July 06, 2025
Certificate Expiration Date
July 05, 2027
Laboratory Director
VALERIE SKRELJA
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 1568112910, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
0
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 6 → 12 → 3 1 → 2 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 2 + 1 + 4 + 9 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1568112910.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1225 MCBRIDE AVE, SUITE 111
WOODLAND PARK, NJ 07424
Dietitian, Registered
1225 MCBRIDE AVE, SUITE 200
WOODLAND PARK, NJ 07424
Dietitian, Registered
1225 MCBRIDE AVE, SUITE 200
WOODLAND PARK, NJ 07424
Specialist
1225 MCBRIDE AVE, SUITE 200
WOODLAND PARK, NJ 07424
Orthopaedic Surgery
1225 MCBRIDE AVE, SUITE 111
WOODLAND PARK, NJ 07424
Specialist
1225 MCBRIDE AVE, SUITE 222
WOODLAND PARK, NJ 07424
Radiology (Vascular & Interventional Radiology)
1225 MCBRIDE AVE, SUITE 116
WOODLAND PARK, NJ 07424
Clinic/Center (Adult Day Care)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Internal Medicine
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Clinic/Center (Adult Day Care)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Pathology (Anatomic Pathology & Clinical Pathology)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Pharmacist
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Pathology (Anatomic Pathology & Clinical Pathology)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Nurse Practitioner (Family)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Pathology (Anatomic Pathology & Clinical Pathology)
1225 MCBRIDE AVE
WOODLAND PARK, NJ 07424
Pharmacy (Community/Retail Pharmacy)
1225 MCBRIDE AVE, SUITE 112
WOODLAND PARK, NJ 07424
Radiology (Vascular & Interventional Radiology)
1225 MCBRIDE AVE, SUITE 116 & SUITE 117
WOODLAND PARK, NJ 07424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568112910, enumerated as an "organization" on March 28, 2022.

The provider is located at 1225 MCBRIDE AVE WOODLAND PARK, NJ 07424 and the phone number is (908) 273-4300.

Clinical Medical Laboratory with taxonomy code 291U00000X.