Provider Type Icon

SUMMIT PEDIATRIC ASSOCIATES P.A. NPI 1568586998


NPI Information

NPI: 1568586998
Provider Name: SUMMIT PEDIATRIC ASSOCIATES, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 31D2069370

Address:
33 OVERLOOK RD
SUITE 101
SUMMIT, NJ
ZIP 07901
Phone: (908) 273-1112
Get Directions

SUMMIT PEDIATRIC ASSOCIATES, P.A. is an adolescent medicine pediatrics in Summit, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. SUMMIT PEDIATRIC ASSOCIATES, P.A. NPI is 1568586998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 OVERLOOK RD
SUITE 101
SUMMIT, NJ
ZIP 07901-570
Phone: (908) 273-1112
Fax: (908) 273-1146

The provider's authorized official is Hemant Kairam .
The authorized official title is Owner and has the following contact phone number (908) 273-1112.

The CLIA number assigned to this NPI record is 31D2069370 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 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
12080A0000XPediatricsAdolescent MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.