SUMMIT MEDICAL GROUP PA
NPI 1639731482
Clinic/Center - Urgent Care in Livingston, NJ
NPI Status: Active since July 02, 2019
Contact Information
75 E NORTHFIELD RD
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 436-1500
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 31D2098391
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-16-2026
About SUMMIT MEDICAL GROUP PA
This page provides the complete NPI Profile along with additional information for Summit Medical Group Pa, a provider established in Livingston, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1639731482 assigned on July 2019. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Peter T Saunders (Vice President)
- NPI
- 1639731482
- Provider Name
- SUMMIT MEDICAL GROUP PA
- Entity Type
- Organization
- Location Address
- 75 E NORTHFIELD RD LIVINGSTON, NJ 07039
- Location Phone
- (973) 436-1500
- Mailing Address
- 150 FLORAL AVE NEW PROVIDENCE, NJ 07974
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-02-2019
- Last Update Date
- 06-08-2022
- 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
- 31D2098391
- Facility Type
- Physician Office
- Certificate Effective Date
- April 17, 2024
- Certificate Expiration Date
- April 16, 2026
- Laboratory Director
- DR. MILES B. LEVIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Summit Medical 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 7 | 3 | 1 | 4 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 3 | 2 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 3 + 2 + 4 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1639731482 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235514514 | TIFFANY COLON AU.D. Individual | Audiologist | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1560 |
| 1376960468 | DR. ANDRE ROSS DPM Individual | Podiatrist (Foot & Ankle Surgery) | 75 E NORTHFIELD RD SURGERY SUITE B LIVINGSTON, NJ 07039 (973) 436-1407 |
| 1043465776 | LESLIE KILLEEN R.D. Individual | Dietitian, Registered | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1450 |
| 1629068457 | DR. WILLIAM L DIEHL M.D. Individual | Surgery (Surgical Oncology) | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1530 |
| 1447678313 | DR. TARA A. BRONSNICK M.D. Individual | Dermatology | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1360 |
| 1033222716 | DR. SAIRAH AHMAD AUD, CCC-A Individual | Audiologist | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1435 |
| 1316237159 | ROHIT NIJHAWAN Individual | Dermatology | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1360 |
| 1336141928 | DR. EILEEN C KLEIN MD Individual | Internal Medicine | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1460 |
| 1023096450 | DR. JENNIFER NICOLE SIVITZ MD Individual | Pediatrics (Pediatric Endocrinology) | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1450 |
| 1821062076 | SONYA YOUNGREN MD Individual | Obstetrics & Gynecology | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1410 |
| 1104880871 | DR. DONNA JANINE ADAMOLI M.D. Individual | Internal Medicine | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1460 |
| 1790745180 | DR. DEAN PAUL BOORUJY D.O. Individual | Family Medicine | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1465 |
| 1396705406 | DR. DAN C. OANA M.D. Individual | Pediatrics | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1540 |
| 1023034147 | BARBARA MCDEVITT MD Individual | Pediatrics | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1540 |
| 1154436400 | DR. CHRISTOPHER SEYMOUR M.D. Individual | Obstetrics & Gynecology | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1410 |
| 1487762050 | SANDY YEUM MD Individual | Obstetrics & Gynecology | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1410 |
| 1396850665 | DR. JOHN M SIMONETTI M.D. Individual | Obstetrics & Gynecology | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1410 |
| 1689734055 | MELISSA LEYVA Individual | Pediatrics (Pediatric Gastroenterology) | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1408 |
| 1659401636 | DR. TOBI IPPOLITO M.D. Individual | Internal Medicine | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1460 |
| 1780826859 | RONNA SHERMAN M.D. Individual | Internal Medicine | 75 E NORTHFIELD RD LIVINGSTON, NJ 07039 (973) 436-1460 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639731482, enumerated in the NPI registry as an "organization" on July 02, 2019
The provider is located at 75 E Northfield Rd Livingston, Nj 07039 and the phone number is (973) 436-1500
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 31D2098391 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued 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..
This NPI record was last updated on July 02, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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