SUMMIT MEDICAL GROUP (NPI# 1871804344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871804344 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL GROUP |
| Practice Address |
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104 |
| Mailing Address |
150 Floral Ave New Providence NJ 07974-1557 |
| Practice Telephone | 9082778704 |
| Practice Fax Number | 9082778876 |
| Mailing Telephone | 9087906504 |
| Mailing Fax Number | 9087906576 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | MR. MIKE DUGAN (DIRECTOR, BUSINESS OFFICE) |
| Authorized Official Telephone | 9087906541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1457749376 | Summit Medical Group | Clinic/Center | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2014-12-30 |
| 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 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972971869 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 412 Springfield Ave, Berkeley Heights, NJ 07922-1107 | 2015-09-09 |
| 1578884987 | Hemaway LLC | Durable Medical Equipment & Medical Supplies | 430 Springfield Ave, Ste 210, Berkeley Heights, NJ 07922-1165 | 2010-06-21 |
| 1215263678 | Authentidate Holding Corp. | Durable Medical Equipment & Medical Supplies | 300 Connell Dr, 5th Floor, Berkeley Heights, NJ 07922-2781 | 2009-10-20 |
| 1790790681 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 343 Springfield Ave, Berkeley Heights, NJ 07922 | 2006-07-29 |
| 1194700757 | Drug Fair Group, Inc. | Durable Medical Equipment & Medical Supplies | 400 Springfield Ave, Berkeley Heights, NJ 07922-1107 | 2005-12-07 |
| 1336327543 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 | 2008-02-11 |
| 1093743593 | Summit Medical Group Pa | Durable Medical Equipment & Medical Supplies | 1 Diamond Hill Rd, Summit Medical Group Pa, Berkeley Heights, NJ 07922-2104 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1790383677 | Lakshmi Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 630 Central Ave, East Orange, NJ 07018-1403 | 2020-10-13 |
| 1821695768 | Tristate Dme LLC | Durable Medical Equipment & Medical Supplies | 412 Piermont Rd, Demarest, NJ 07627-2421 | 2020-10-05 |
| 1750998365 | Rhino Med LLC | Durable Medical Equipment & Medical Supplies | 21 E Front St Ste 240, Red Bank, NJ 07701-1874 | 2020-09-28 |
| 1386259067 | First Wellness Inc | Durable Medical Equipment & Medical Supplies | 1327 Falston Cir, Old Bridge, NJ 08857-3617 | 2020-09-10 |
| 1528672920 | Shaunelle Renaud | Durable Medical Equipment & Medical Supplies | 478 Sycamore St, Rahway, NJ 07065 | 2020-09-02 |
| 1003429812 | Therafit Enterprises of New Jersey Incorporated | Durable Medical Equipment & Medical Supplies | 1275 Hwy 35 Ste 7, Middletown, NJ 07748-2000 | 2020-08-31 |
| 1144833955 | Dedicated Medical Providers LLC | Durable Medical Equipment & Medical Supplies | 55 Walnut St Ste 204, Norwood, NJ 07648-1332 | 2020-08-31 |
| 1770196909 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 Holly Dell Dr Ste P, Sewell, NJ 08080-9318 | 2020-08-27 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 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.