# 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:** 1477210227
- **Legal business name:** SUMMIT MEDICAL GROUP PA
- **Authorized official:** JEFFREY D LEBENGER (CEO)
- **Authorized official phone:** (516) 453-0435

## Contact information

- **Practice address:** 273 LIVINGSTON STREET, NORTHVALE, NJ 07647
- **Practice address phone:** (201) 381-5370
- **Mailing address:** 1345 RXR PLZ, UNIONDALE, NY 11556-1301
- **Mailing address phone:** (516) 453-0435

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 11/29/2021