SUMMIT AVENUE MEDICAL PA (NPI# 1275531550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275531550 |
| Entity Type | Organization |
| Organization Name | SUMMIT AVENUE MEDICAL PA |
| Practice Address |
5 Summit Ave Ste 1 Hackensack NJ 07601-8503 |
| Practice Telephone | 2016460001 |
| Practice Fax Number | 2016469101 |
| Mailing Telephone | 2016460001 |
| Mailing Fax Number | 2016469101 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. SHARON B LEVONT (OFFICE MANAGER) |
| Authorized Official Telephone | 2016460001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ========= | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA US HEALTHCARE | 2514 | 01 | |
| RAILROAD MEDICARE | CD1762 | 01 | |
| AMERIHEALTH | 0127584001 | 01 |
| Street Address |
5 SUMMIT AVE STE 1 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702562 | Choicepoint LLC | Substance Abuse Rehabilitation Facility | 5 Summit Ave, Hackensack, NJ 07601-8503 | 2020-08-24 |
| 1609276443 | Jyoti Sharma | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2014-08-29 |
| 1154651974 | Premier Ob/gyn Group | Obstetrics & Gynecology | 5 Summit Ave, Suite 100, Hackensack, NJ 07601-8503 | 2009-12-29 |
| 1851523674 | Advanced Pediatrics Group, L.L.C. | Pediatrics | 5 Summit Ave, Suite 203, Hackensack, NJ 07601-8503 | 2009-08-12 |
| 1710149851 | Sanjeev Kaul, Md, Facs, LLC | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-06-30 |
| 1447412622 | John J. Locurto, Md,facs Limited Liability Company | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-06-27 |
| 1275793739 | Kelly Rippey | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-06-09 |
| 1831363852 | North Jersey Trauma & Critical Care Associates, LLC | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-04-22 |
| 1174700561 | Saraswati D. Dayal, Md, LLC | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-01-28 |
| 1770619470 | Michael Esposito, M.d., LLC | Specialist | 5 Summit Ave, Floor 2, Hackensack, NJ 07601-8503 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1982245932 | Wellcare Tccm | Internal Medicine | 250 Moore St, Hackensack, NJ 07601-7506 | 2019-10-01 |
| 1215598826 | Medcare Practice, LLC | Internal Medicine | 2 University Plaza, Suite 100 #29, Hackensack, NJ 07601-6210 | 2019-06-25 |
| 1922573740 | Advanced Wound Care | Internal Medicine | 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 | 2018-10-08 |
| 1962812875 | Shreemayee De | Internal Medicine | 360 Essex St Ste 301, Hackensack, NJ 07601-8566 | 2014-04-30 |
| 1467893917 | Nikki Bajaj | Internal Medicine | 260 Prospect Ave, Apt 163, Hackensack, NJ 07601-2600 | 2013-07-12 |
| 1659636967 | Laura Dutu | Internal Medicine | 20 Prospect Ave Ste 715, Hackensack, NJ 07601-1989 | 2012-07-12 |
| 1639309347 | Eshwa B Ahmadi | Internal Medicine | 30 Euclid Ave Apt 4f, Hackensack, NJ 07601-4568 | 2009-07-16 |
| 1992969059 | David Louis Broadnax | Internal Medicine | 386 Second Street, Hackensack, NJ 07601 | 2008-07-17 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.