SUMMIT MEDICAL GROUP PA
NPI 1952011314
Clinic/Center - Urgent Care in Elmwood Park, NJ

Active since November 28, 2022CLIA 31D2271487 · Waiver
58 BROADWAY, ELMWOOD PARK, NJ 07407(551) 222-8227 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 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 1952011314), doing business as Citymd, is a healthcare organization registered as an urgent care in Elmwood Park, New Jersey and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Jeffrey D Lebenger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952011314
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSUMMIT MEDICAL GROUP PA
Location Address58 BROADWAYElmwood Park, NJ 07407-1841
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 588-3635
Organization SubpartYes
Authorized OfficialJeffrey D LebengerCeo · (908) 790-6567
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
NPI 1952011314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
58 BROADWAY, Elmwood Park, NJ 07407

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 31D2271487

Summit Medical Group, PA Dba Citymd · Elmwood Park, NJ
Active · expires Nov 1, 2026
CLIA Number31D2271487
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorAbel Cherian
Laboratory Phone(551) 222-8227
Laboratory LocationSummit Medical Group, PA Dba Citymd58 Broadway, Elmwood Park, NJ 07407
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 1952011314. It was assigned to this organization in the NPPES registry on November 28, 2022. The provider is doing business as CityMD.

Where is Summit Medical Group PA located?

Summit Medical Group PA is located at 58 Broadway, Elmwood Park, NJ 07407. The listed phone number is (551) 222-8227.

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 31D2271487) is associated with this NPI, valid through November 1, 2026. 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 November 28, 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.