Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Summit Avenue Medical PA

Organization Internal Medicine Physician · NPI 1275531550

Summit Avenue Medical PA is an Internal Medicine Physician in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Summit Ave Ste 1
Hackensack, NJ 07601-8503
Phone: (201) 646-0001
Fax: (201) 646-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NJ)

Record details

NPI number1275531550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Levont — Office Manager · (201) 646-0001
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 21, 2022
Mailing address5 Summit Ave, Ste 1, Hackensack, NJ 07601-8503

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