Active NPIOrganization

Optum Medical Care Of New Jersey PC

Durable Medical Equipment & Medical Supplies in Maplewood, New Jersey

NPI Number1508606237
Practice location
264 Boyden Ave, Maplewood, NJ 07040-3070
Fax
973-761-7617
Last updated
May 30, 2024

Optum Medical Care Of New Jersey PC is a healthcare organization based in Maplewood, NJ. Optum Medical Care Of New Jersey PC practices in Maplewood, NJ. The NPI Number for Optum Medical Care Of New Jersey PC is 1508606237. The current practice location address for Optum Medical Care Of New Jersey PC is 264 Boyden Ave, Maplewood, NJ 07040-3070 and can be reached out via phone at 973-761-5200 and via fax at 973-761-7617.

Provider Profile Details

NPI Number
1508606237
Provider Name
Optum Medical Care Of New Jersey PC
Provider Entity Type
Organization
Address
264 Boyden Ave, Maplewood, NJ 07040-3070
Phone Number
973-761-5200
Fax Number
973-761-7617
Primary Taxonomy
Durable Medical Equipment & Medical Supplies · 332B00000X
Organization Subpart
Yes
Parent Organization
Optum Medical Care Of New Jersey PC
Authorized Official
Gaurang Ravaji Brahmbhatt, MD · Credentialing Supervisor · 201-706-8490
Other Names
Riverside Medical Group (Doing Business As)
Provider Enumeration Date
May 30, 2024
Last Update Date
May 30, 2024
Certification Date
May 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
264 Boyden Ave
Maplewood, NJ 07040-3070
Zip
07040-3070
Phone Number
973-761-5200
Fax Number
973-761-7617
Maplewood, NJ 07040Get 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
551-220-4832
Fax Number
551-257-7255

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 1508606237. It was assigned on May 30, 2024 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 264 Boyden Ave, Maplewood, NJ 07040-3070. The office can be reached at 973-761-5200 (phone) or 973-761-7617 (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 1508606237 directly on the NPPES registry website.

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