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CITYMD
NPI 1891476255
Clinic/Center - Urgent Care in Secaucus, NJ

Active since July 28, 2023CLIA 31D2291857 · Waiver
200 MILL CREEK DR UNIT A, SECAUCUS, NJ 07094(201) 537-3301(973) 498-1871 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Citymd NPPES

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

CITYMD (NPI 1891476255) is a healthcare organization registered as an urgent care in Secaucus, New Jersey and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891476255
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address200 MILL CREEK DR UNIT ASecaucus, NJ 07094-3673
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Phone(201) 537-3301
Fax(973) 498-1871
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateJuly 28, 2023
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1891476255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
200 MILL CREEK DR UNIT A, Secaucus, NJ 07094
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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 31D2291857

Summit Medical Group PA Dba Citymd · Secaucus, NJ
Active · expires Oct 16, 2027
CLIA Number31D2291857
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorAbel Cherian
Laboratory Phone(201) 537-3301
Laboratory LocationSummit Medical Group PA Dba Citymd200 Mill Creek Drive, Unit A, Secaucus, NJ 07094
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 1891476255. It was assigned to this organization in the NPPES registry on July 28, 2023. The provider is doing business as Citymd.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 200 Mill Creek Dr Unit A, Secaucus, NJ 07094. The listed phone number is (201) 537-3301.

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 31D2291857) is associated with this NPI, valid through October 16, 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 September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.