MEDICARE: SUMMIT HEALTH SERVICES PC NJ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	103T00000X	Psychologist

General Provider Information

NPI Number	:	1871433755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT HEALTH SERVICES PC NJ LLC

Provider Business Mailing Address
First Line	:	20 N COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-0247
Country	:	US
Telephone Number	:	888-270-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 N COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-0247
Country	:	US
Telephone Number	:	888-270-1335
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	BARRY BREZEL
Credential	:
Telephone Number	:	888-270-1335

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “SUMMIT HEALTH SERVICES PC NJ LLC ” Practice Location

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