SUMMIT UROLOGIC ASSOCIATES (NPI# 1043350473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043350473 |
| Entity Type | Organization |
| Organization Name | SUMMIT UROLOGIC ASSOCIATES |
| Practice Address |
475 Springfield Ave Summit NJ 07901-2600 |
| Practice Telephone | 9082738854 |
| Practice Fax Number | 9082734585 |
| Mailing Telephone | 9082738854 |
| Mailing Fax Number | 9082734585 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN THOMAS GIANIS JR. (PRESIDENT) |
| Authorized Official Telephone | 9082738854 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA052941 | NJ | Other Service Providers |
| Street Address |
475 SPRINGFIELD AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467492678 | John Thomas Gianis Jr. | Specialist | 475 Springfield Ave, Summit, NJ 07901-2600 | 2006-06-07 |
| 1811390230 | Raynard Otis Riley | Dentist | 475 Springfield Ave, Suite 210, Summit, NJ 07901 | 2014-09-30 |
| 1043315302 | Raynard Riley Dds | Dentist | 475 Springfield Ave, Suit 210, Summit, NJ 07901 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801076096 | Paul M Starker, Md Pa | Specialist | 11 Overlook Rd Ste 160, Summit, NJ 07901-3577 | 2007-11-06 |
| 1639389539 | Charles M. Udvarnoky | Specialist | 447 Springfield Ave, Summit, NJ 07901-2615 | 2007-05-22 |
| 1376559450 | Joel A. Roth | Specialist | Overlook Hospital, 99 Beauvoir Ave, Summit, NJ 07902-0220 | 2006-07-31 |
| 1467492678 | John Thomas Gianis Jr. | Specialist | 475 Springfield Ave, Summit, NJ 07901-2600 | 2006-06-07 |
| 1356388524 | Dilip Shah | Specialist | 6134 S Harlem Ave, Summit, IL 60501-1625 | 2006-05-31 |
| 1164976791 | Alyssa Krause | Specialist | 36500 Aurora Dr, Summit, WI 53066-4899 | 2016-08-11 |
| 1568707024 | Atlantic Neurology Consulting PC | Specialist | 33 Overlook Rd, Suite 401, Summit, NJ 07901-3570 | 2012-12-10 |
| 1679861173 | Adam Berry | Specialist | 151 Summit Ave, First Floor, Summit, NJ 07901-2813 | 2011-07-18 |
| 1437301231 | Chaitali Rajan Gupte | Specialist | 1 Springfield Ave, Summit, NJ 07901-4055 | 2008-10-13 |
| 1295874428 | Summit Internal Medicine LLC | Specialist | 33 Overlook Rd, Suite L06, Summit, NJ 07901-3570 | 2007-02-05 |
| Find all providers in SUMMIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.