Optimal Care Surgical Services
Physician Assistant, Surgical in Glen Rock, New Jersey
1811341100- Practice location
- 139 Harristown RD, 205, Glen Rock, NJ 07452-3312
- Phone
- 718-431-5251
- Fax
- —
- Last updated
- April 22, 2016
Optimal Care Surgical Services is a healthcare organization based in Glen Rock, NJ. Optimal Care Surgical Services practices in Glen Rock, NJ. The NPI Number for Optimal Care Surgical Services is 1811341100 and holds a License No. 25MP00236800 (NJ). The current practice location address for Optimal Care Surgical Services is 139 Harristown RD, 205, Glen Rock, NJ 07452-3312 and can be reached out via phone at 718-431-5251.
Provider Profile Details
- NPI Number
- 1811341100
- Provider Name
- Optimal Care Surgical Services
- Provider Entity Type
- Organization
- Address
- 139 Harristown RD, 205, Glen Rock, NJ 07452-3312
- Phone Number
- 718-431-5251
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Organization Subpart
- No
- Authorized Official
- Mr. Boris Khaimov, PA · Managing Member · 718-431-5251
- Provider Enumeration Date
- April 22, 2016
- Last Update Date
- April 22, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 139 Harristown RD
205
Glen Rock, NJ 07452-3312 - City
- Glen Rock
- State
- New Jersey
- Zip
- 07452-3312
- Phone Number
- 718-431-5251
Provider Business Mailing Address Details
- Address
- 139 Harristown RD
205
Glen Rock, NJ 07452-3312 - City
- Glen Rock
- State
- NJ
- Zip
- 07452-3312
- Phone Number
- 718-431-5251
License Information
- License Number
- 25MP00236800
- License State
- NJ
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Optimal Care Surgical Services?
The NPI number of Optimal Care Surgical Services is 1811341100. It was assigned on April 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Optimal Care Surgical Services?
Optimal Care Surgical Services is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00236800.
Where does Optimal Care Surgical Services practice?
The practice location is 139 Harristown RD, 205, Glen Rock, NJ 07452-3312. The office can be reached at 718-431-5251 (phone).
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 1811341100 directly on the NPPES registry website.