Summit Avenue Medical Pa

LBN: Summit Avenue Medical Pa
Summit Avenue Medical Pa is an health care organization with primary practice located at 5 Summit Ave Ste 1, Hackensack NJ 07601-8503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Summit Avenue Medical Pa can be contacted via phone (201) 646-0001, or through Levont, Sharon B via phone (201) 646-0001.

Contact Information

Primary practice address
5 Summit Ave Ste 1 Hackensack NJ 07601-8503
Phone: (201) 646-0001
Fax: (201) 646-9101
Website:
Map and Directions
Authorized official contact:
Name: Levont, Sharon B
Phone: (201) 646-0001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X New Jersey

Profile Details

NPI number 1275531550
LBN Legal business name Summit Avenue Medical Pa
DBA Doing business as
Authorized official Levont, Sharon B
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275531550 NPPES
Other 0127584001 AMERIHEALTH
Other 2514 AMERIHEALTH
Other CD1762 AMERIHEALTH

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