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SUMMIT MEDICAL GROUP PA
NPI 1639808389
Durable Medical Equipment & Medical Supplies in Livingston, NJ

Active since June 08, 2022
75 E NORTHFIELD RD, LIVINGSTON, NJ 07039(908) 588-3635 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Medical Group Pa NPPES

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

SUMMIT MEDICAL GROUP PA (NPI 1639808389) is a healthcare organization registered as a durable medical equipment & medical supplies in Livingston, New Jersey and active in the NPI registry since June 2022. The organization lists Peter T Saunders, Senior Vp, as its authorized official.

NPPES Registry Identity

NPI1639808389
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address75 E NORTHFIELD RDLivingston, NJ 07039-4532
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(908) 588-3635
Organization SubpartYes
Authorized OfficialPeter T SaundersSenior Vp · (908) 588-3635
Enumeration DateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1639808389 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.
75 E NORTHFIELD RD, Livingston, NJ 07039
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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 IDO20221020002236DME · 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.

DR. JENNIFER NICOLE SIVITZ MD
Pediatrics (Pediatric Endocrinology)
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1450
DR. SAIRAH AHMAD AUD, CCC-A
Audiologist
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1435
TONI ANN SANTILLO PA-C
Physician Assistant (Medical)
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1330
LESLIE KILLEEN R.D.
Dietitian, Registered
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1450
JESSICA LACEY PLATT AUD
Audiologist
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1406
FRANCES ANEROUSIS M.D.
Internal Medicine
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1460
DR. DONNA JANINE ADAMOLI M.D.
Internal Medicine
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1460
DR. CHRISTOPHER SEYMOUR M.D.
Obstetrics & Gynecology
75 E NORTHFIELD RD
LIVINGSTON, NJ 07039
Essex County (973) 436-1410

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 Summit Medical Group PA's NPI number?

The NPI number for Summit Medical Group PA is 1639808389. It was assigned to this organization in the NPPES registry on June 8, 2022.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 75 E Northfield Rd, Livingston, NJ 07039. The listed phone number is (908) 588-3635.

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.

Is Summit Medical Group PA enrolled in Medicare?

Yes. Summit Medical Group PA is registered in the Medicare PECOS enrollment system.

When is Summit Medical Group PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Summit Medical Group PA was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.