- Practice location
- 89 Sparta Ave, Suite 210, Sparta, NJ 07871-1777
- Phone
- 973-729-6517
- Fax
- 973-729-3194
- Last updated
- October 7, 2014
Summit Breast Care, LLC is a healthcare organization based in Sparta, NJ. Summit Breast Care, LLC practices in Sparta, NJ. The NPI Number for Summit Breast Care, LLC is 1811009137 and holds a License No. 25MA04336800 (NJ). The current practice location address for Summit Breast Care, LLC is 89 Sparta Ave, Suite 210, Sparta, NJ 07871-1777 and can be reached out via phone at 973-729-6517 and via fax at 973-729-3194.
Provider Profile Details
- NPI Number
- 1811009137
- Provider Name
- Summit Breast Care, LLC
- Provider Entity Type
- Organization
- Address
- 89 Sparta Ave, Suite 210, Sparta, NJ 07871-1777
- Phone Number
- 973-729-6517
- Fax Number
- 973-729-3194
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- Dr. Michelle O'Shea, MD · Partner · 973-670-4244
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- October 7, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 89 Sparta Ave
Suite 210
Sparta, NJ 07871-1777 - City
- Sparta
- State
- New Jersey
- Zip
- 07871-1777
- Phone Number
- 973-729-6517
- Fax Number
- 973-729-3194
Provider Business Mailing Address Details
- Address
- 98 Ford RD
Suite 3-H
Denville, NJ 07834-1356 - City
- Denville
- State
- NJ
- Zip
- 07834-1356
- Phone Number
- 973-625-3366
- Fax Number
- 973-625-0349
License Information
- License Number
- 25MA04336800
- License State
- NJ
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Summit Breast Care, LLC?
The NPI number of Summit Breast Care, LLC is 1811009137. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Summit Breast Care, LLC?
Summit Breast Care, LLC is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA04336800.
Where does Summit Breast Care, LLC practice?
The practice location is 89 Sparta Ave, Suite 210, Sparta, NJ 07871-1777. The office can be reached at 973-729-6517 (phone) or 973-729-3194 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811009137 directly on the NPPES registry website.