SUMMIT MEDICAL GROUP PA
NPI 1912629551
Durable Medical Equipment & Medical Supplies in Union, NJ

Active since September 12, 2022CLIA 31D2252606 · Waiver
2317 ROUTE 22 CTR, UNION, NJ 07083(201) 354-1951 Get Directions Write a Review

NPPES record last updated: September 12, 2022. 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 1912629551), doing business as Citymd, is a healthcare organization registered as a durable medical equipment & medical supplies in Union, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912629551
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address2317 ROUTE 22 CTRUnion, NJ 07083-8558
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
NPI 1912629551 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.
2317 ROUTE 22 CTR, Union, NJ 07083

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 31D2252606

Summit Medical Group Dba Summit Health · Union, NJ
Active · expires Mar 27, 2027
CLIA Number31D2252606
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorDonato S. Russo
Laboratory Phone(908) 687-8282
Laboratory LocationSummit Medical Group Dba Summit Health1896 Morris Avenue, Union, NJ 07083
CLIA data matches this NPI record on: Name
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 1912629551. It was assigned to this organization in the NPPES registry on September 12, 2022. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 2317 Route 22 Ctr, Union, NJ 07083. The listed phone number is (201) 354-1951.

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.

Does Summit Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2252606) is associated with this NPI, valid through March 27, 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 12, 2022. 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.