Active NPIOrganization

Optum Medical Care Of New Jersey PC

Durable Medical Equipment & Medical Supplies in Bayonne, New Jersey

NPI Number1063959211
Practice location
544 Broadway, Bayonne, NJ 07002
Fax
201-552-2358
Last updated
June 2, 2023

Optum Medical Care Of New Jersey PC is a healthcare organization based in Bayonne, NJ. Optum Medical Care Of New Jersey PC practices in Bayonne, NJ. The NPI Number for Optum Medical Care Of New Jersey PC is 1063959211. The current practice location address for Optum Medical Care Of New Jersey PC is 544 Broadway, Bayonne, NJ 07002 and can be reached out via phone at 551-257-7038 and via fax at 201-552-2358.

Provider Profile Details

NPI Number
1063959211
Provider Name
Optum Medical Care Of New Jersey PC
Provider Entity Type
Organization
Address
544 Broadway, Bayonne, NJ 07002
Phone Number
551-257-7038
Fax Number
201-552-2358
Primary Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X
Organization Subpart
No
Authorized Official
Gaurang Ravaji Brahmbhatt, MD · Cmo · 201-706-8490
Other Names
Riverside Medical Group (Doing Business As)
Provider Enumeration Date
January 26, 2017
Last Update Date
June 2, 2023
Certification Date
June 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
544 Broadway
Bayonne, NJ 07002
Zip
07002
Phone Number
551-257-7038
Fax Number
201-552-2358
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
1 Harmon Plz Fl 10
Secaucus, NJ 07094-2803
City
Secaucus
State
NJ
Zip
07094-2803
Phone Number
763-349-6825
Fax Number
877-828-9907

License Information

Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Optum Medical Care Of New Jersey PC?

The NPI number of Optum Medical Care Of New Jersey PC is 1063959211. It was assigned on January 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Optum Medical Care Of New Jersey PC?

Optum Medical Care Of New Jersey PC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).

Where does Optum Medical Care Of New Jersey PC practice?

The practice location is 544 Broadway, Bayonne, NJ 07002. The office can be reached at 551-257-7038 (phone) or 201-552-2358 (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 1063959211 directly on the NPPES registry website.

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