Summit Medicine And Wellness
Internal Medicine in Ewing, NJ. Organization (NPI-2).
NPI number1750720348
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1750720348
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Medicine And Wellness
- Organization subpart
- No
- Enumeration date
- Jun 18, 2013
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08594900 | NJ | Yes |
Practice location
1450 Parkside Ave Ste 4Ewing, NJ 08638-2948
Phone 609-789-0777 · Fax 609-789-0776
Mailing address
1450 Parkside Ave Ste 4Ewing, NJ 08638-2948
Phone 609-789-0777 · Fax 609-789-0776
Authorized official
Neelima Vudarla
Owner
6097890777
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