SUMMIT MEDIAL GROUP PA
NPI 1962129874
Clinic/Center - Urgent Care in Clifton, NJ
NPI Status: Active since October 21, 2022
Contact Information
1255 BROAD ST
CLIFTON, NJ
ZIP 07013
Phone: (973) 685-5755
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 31D0957525
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-06-2027
About SUMMIT MEDIAL GROUP PA
This page provides the complete NPI Profile along with additional information for Summit Medial Group Pa, a provider established in Clifton, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1962129874 assigned on October 2022. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Swahili Henry (Director Provider Enrollment)
- NPI
- 1962129874
- Provider Name
- SUMMIT MEDIAL GROUP PA
- Entity Type
- Organization
- Location Address
- 1255 BROAD ST CLIFTON, NJ 07013
- Location Phone
- (973) 685-5755
- Mailing Address
- 1 DIAMOND HILL RD BERKELEY HEIGHTS, NJ 07922
- Mailing Phone
- (908) 588-3635
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-21-2022
- Last Update Date
- 03-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D0957525
- Facility Type
- Physician Office
- Certificate Effective Date
- April 07, 2025
- Certificate Expiration Date
- April 06, 2027
- Laboratory Director
- MARVIN LESSIG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Summit Medial Group Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962129874, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
CLIFTON, NJ 07013
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962129874, enumerated as an "organization" on October 21, 2022.
The provider is located at 1255 BROAD ST CLIFTON, NJ 07013 and the phone number is (973) 685-5755.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
