Provider Demographics
NPI:1295874428
Name:SUMMIT INTERNAL MEDICINE LLC
Entity type:Organization
Organization Name:SUMMIT INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:H
Authorized Official - Last Name:TOFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-522-0050
Mailing Address - Street 1:33 OVERLOOK RD
Mailing Address - Street 2:SUITE L06
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3570
Mailing Address - Country:US
Mailing Address - Phone:908-522-0050
Mailing Address - Fax:908-522-6575
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE L06
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-522-0050
Practice Address - Fax:908-522-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ042718Medicare ID - Type Unspecified