SUMMIT MEDICAL GROUP (NPI# 1457749376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457749376 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP |
| Practice Address |
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104 |
| Practice Telephone | 9082734300 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Authorized Official Name | MRS. DIANE MAGEE (THERAPIST) |
| Authorized Official Telephone | 9734764743 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
37LC00212700 | NJ | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
37PC00488600 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1831595024 | Summit Medical Group | Internal Medicine | 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694-0608 | 2014-11-14 |
| 1972918977 | Summit Medical Group | Clinic/Center | 38660 Medical Center Dr, Space A130, Palmdale, CA 93551-4385 | 2014-06-27 |
| 1164788261 | Summit Medical Group | Nurse Practitioner | 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017-5100 | 2012-04-03 |
| 1548536568 | Summit Medical Group | Family Medicine | 300 Commercial Dr, Alexandria, KY 41001-2107 | 2012-03-23 |
| 1346515491 | Summit Medical Group | Orthopaedic Surgery | 204 Bridgeway St, Aurora, IN 47001-1334 | 2012-03-21 |
| 1780959833 | Summit Medical Group | Family Medicine | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2012-03-21 |
| 1679851729 | Summit Medical Group | Counselor | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2011-07-22 |
| 1871804344 | Summit Medical Group | Durable Medical Equipment & Medical Supplies | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2010-06-29 |
| 1942532825 | Summit Medical Group | Clinic/Center | 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 | 2010-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT MEDICAL GROUP ARIZONA LLC | 5620 W Thunderbird Rd Ste F1, Glendale, AZ 85306-4652 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND MEMORIAL CLINIC | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BEND UROLOGY ASSOCIATES | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BMC | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BMC TOTAL CARE | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | SUMMIT MEDICAL GROUP OREGON - BUA | 1501 Ne Medical Center Dr, Bend, OR 97701 |
| Indiana Business Entities | SUMMIT MEDICAL GROUP, INC. | 334 Thomas More Pkwy, Ste 160, Edgewood, KY 41017 |
| Street Address |
1 DIAMOND HILL RD |
| City | BERKELEY HEIGHTS |
| State | NJ |
| Zip Code | 07922-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336004 | Deborah Cheung | Internal Medicine | 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 | 2005-06-17 |
| 1841898160 | Kelly Anne Gugger | Speech-Language Pathologist | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-10-09 |
| 1811501976 | Thomas Gerald Corbo | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-09-04 |
| 1386288678 | Nadia Z Jamil | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-10-30 |
| 1225687494 | Loren Leigh Ball | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-09-10 |
| 1790347151 | Samantha Joy Bernstein | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-07-05 |
| 1356903348 | Summit Medical Group Pa | Clinic/Center | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-07-01 |
| 1811558026 | Robert Antunes Vagueiro | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-06-27 |
| 1194287490 | Stephanie Pierre-pierre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-04-04 |
| 1497215313 | Sakirat Oladiran | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920579 | Dylan Nessenson | Specialist/Technologist | 44 Branko Road, Berkeley Heights, NJ 07922 | 2017-09-04 |
| 1750807574 | Elite Care Physical Therapy PC | Physical Therapist | 10 Summit Ave Ste 6, Berkeley Heights, NJ 07922 | 2017-08-15 |
| 1124424619 | All Dental Arts PC | Dentist | 559 Plainfield Avenue, Berkeley Heights, NJ 07922 | 2014-11-10 |
| 1972871598 | Shivaji Gajanan Phadke | Pharmacist | 40 Holly Glen Lane North, Berkeley Heights, NJ 07922 | 2011-12-09 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1194983411 | Henry Peter Schwerner | Pediatrics | 115 Wentworth Drive, Berkeley Heights, NJ 07922 | 2008-05-23 |
| 1215158076 | Mark Durante | Dentist | 261 Springfield Avenue, Suite 203, Berkeley Heights, NJ 07922 | 2007-05-01 |
| 1306989785 | Gayle M Coakley | Marriage & Family Therapist | 230 Sherman Ave Ste 10, Berkeley Heights, NJ 07922 | 2007-02-15 |
| 1275670507 | Patrick Rafferty Smith | Chiropractor | 134 Snyder Avenue, Berkeley Heights, NJ 07922 | 2007-01-30 |
| 1447315015 | Barbara Schoenberg | Social Worker | 310 Springfield Ave, Suite 165, Berkeley Heights, NJ 07922 | 2006-12-26 |
| Find all providers in zip 07922 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447438296 | Paul Doliner, M.d.,p.c. | Clinic/Center | 308 Springfield Ave, Berkeley Heights, NJ 07922-1278 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443650 | Quantum Behavioral Health Services LLC | Clinic/Center | 144 Mill St, Toms River, NJ 08757-5156 | 2020-10-08 |
| 1811515042 | Michelle Kerekes Lpc | Clinic/Center | 623 River Rd Ste 1, Fair Haven, NJ 07704-3267 | 2020-07-14 |
| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY HEIGHTS |
| Zip Code | 07922 |
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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.