321 Summit Medical
321 Summit Medical is a healthcare organization registered as Internal Medicine Physician in Hackensack, NJ, holding Type 2 (organization) NPI 1679865109 since 2011. The authorized official on file is Charles Davis, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679865109 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 321 Summit Medical |
| Practice address | 321 SUMMIT AVE, Hackensack, NJ, 07601 |
| Phone | 2013432434 |
| Fax | 2013433917 |
| Enumeration date | 2011-05-03 |
| Last updated in NPPES | 2011-05-03 |
Authorized official
| Name | Charles Davis |
|---|---|
| Title | President |
| Phone | 2013432434 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: 321 Summit Medical NPI: 1679865109 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 321 SUMMIT AVE, Hackensack, NJ, 07601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689641490 | Charles Davis | Individual | Geriatric Medicine (Internal Medicine) Physician | Hackensack, NJ |
| 1861504169 | Miriam Benoff | Individual | Nurse Practitioner | Hackensack, NJ |
| 1518088202 | Mordecai Wertheim | Individual | Internal Medicine Physician | Hackensack, NJ |
| 1760626048 | Timothy Kowal | Individual | Internal Medicine Physician | Hackensack, NJ |
Verify this record
Cross-check NPI 1679865109 against the authoritative CMS record: view 321 Summit Medical on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is 321 Summit Medical?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-03.