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SUMMIT CARDIOLOGY LLC NPI 1285729806


NPI Information

NPI: 1285729806
Provider Name: SUMMIT CARDIOLOGY, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 31D1028835

Address:
ONE SPRINGFIELD AVE. STE. 2A
SUMMIT, NJ
ZIP 07901
Phone: (908) 273-1999
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SUMMIT CARDIOLOGY, LLC is a cardiovascular disease internal medicine in Summit, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SUMMIT CARDIOLOGY, LLC NPI is 1285729806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

ONE SPRINGFIELD AVE. STE. 2A
SUMMIT, NJ
ZIP 07901-055
Phone: (908) 273-1999
Fax: (908) 273-1332

The provider's authorized official is Mark J Krell .
The authorized official title is Owner and has the following contact phone number (908) 273-1999.

The CLIA number assigned to this NPI record is 31D1028835 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10094838MEDICAIDNEW JERSEY
2DA9581OTHERNEW JERSEYRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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