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Summit Medical Group PA

Clinic/Center, Urgent Care in Florham Park, NJ. Organization (NPI-2).

NPI number1194387944
StatusActive
Last updated in NPPESJan 27, 2026

Details

NPI
1194387944
Entity type
Organization (NPI-2)
Legal business name
Summit Medical Group PA
Organization subpart
Yes
Enumeration date
Jul 2, 2019
Certification date
Jan 27, 2026
Last updated
Jan 27, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes

Other names

  • Summit Medical Group Urgent Care Center (Doing Business As)

Practice location

140 Park Ave
Florham Park, NJ 07932-1049

Phone 973-404-9780

Mailing address

150 Floral Ave
New Providence, NJ 07974-1557

Authorized official

Swahili Henry
Director Of Provider Enrollment
9089880428

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