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SUMMIT MEDICAL GROUP PA
NPI 1710681929
Clinic/Center - Urgent Care in Englewood, NJ

Active since March 30, 2023CLIA 31D2277931 · Waiver
10 STERLING BLVD, ENGLEWOOD, NJ 07631(551) 222-6785 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1710681929), doing business as Citymd, is a healthcare organization registered as an urgent care in Englewood, New Jersey and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710681929
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address10 STERLING BLVDEnglewood, NJ 07631-4834
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(551) 222-6785
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1710681929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
10 STERLING BLVD, Englewood, NJ 07631
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Other Names 1

Doing Business AsCitymd

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2277931

Summit Medical Group, PA Dba Citymd · Englewood, NJ
Active · expires Mar 7, 2027
CLIA Number31D2277931
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorAbel Cherian
Laboratory Phone(551) 222-6785
Laboratory LocationSummit Medical Group, PA Dba Citymd10 Sterling Blvd, Englewood, NJ 07631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1710681929. It was assigned to this organization in the NPPES registry on March 30, 2023. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 10 Sterling Blvd, Englewood, NJ 07631. The listed phone number is (551) 222-6785.

What is Summit Medical Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Summit Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2277931) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Medical Group PA was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.