Let's get you an appointment.

The fastest way to be seen is to call the office nearest you. If it is easier to send us a note, fill in the form below and our staff will get back to you to arrange a time.

New Jersey — Hackensack & Westwood

(201) 488-6445

Fax (201) 488-6441

New York — Lake Success

staff@summitsurgicalinstitute.com

Include your name, phone number and preferred times.

Please do not use this form for emergencies.

For a life-threatening emergency, call 911 or go to your nearest emergency room. This form and our email inbox are not monitored around the clock. For urgent but non-life-threatening matters, call the office — our doctors are available 24 hours a day.

Appointment request

Tell us how to reach you

Our staff will call you back to confirm a time and go over anything we need before your visit.

Your name *

Phone number *

Email address

Preferred office

Reason for your visit

Days and times that work best

Referring doctor (if you have one)

Anything else we should know?

This form opens your email application with your details filled in, so nothing is transmitted through this website. If you would rather not email, please call us at (201) 488-6445. Do not send emergency or highly sensitive medical information by email.

Before your first visit

Complete our new patient registration package and bring it with you
Bring your insurance card
Bring any records, x-rays or films from your referring doctor
Bring a list of the medications you take
Check whether your carrier requires a referral — not needed for Medicare or Blue Cross / Blue Shield

Full patient information

Our offices

Hackensack, NJ
332 Summit Avenue, Hackensack, NJ 07601

Westwood, NJ
290 Old Hook Rd., Suite 300, Westwood, NJ 07675

Lake Success, NY
2800 Marcus Ave., Suite 203, Lake Success, NY 11042

Maps & directions

Our doctors are available 24 hours a day

For high-priority situations that are not life-threatening, call the office at any hour.