# SUMMIT MEDICAL GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT MEDICAL GROUP PA
- **Other names:** CityMD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255012613
- **Legal business name:** SUMMIT MEDICAL GROUP PA
- **Authorized official:** JEFFREY D LEBENGER (CEO)
- **Authorized official phone:** (908) 790-6567

## Contact information

- **Practice address:** 241-245 ROUTE 35, EATONTOWN, NJ 07724
- **Practice address phone:** (201) 590-2244
- **Practice address fax:** (732) 676-7838
- **Mailing address:** 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
- **Mailing address phone:** (908) 588-3635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 08/29/2023