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OPTUM MEDICAL CARE P.C. NPI 1558140236


NPI Information

NPI: 1558140236
Provider Name: OPTUM MEDICAL CARE, P.C.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 33D2124782

Address:
5901 69TH ST
MASPETH, NY
ZIP 11378
Phone: (718) 639-5147
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OPTUM MEDICAL CARE, P.C. is a durable medical equipment medical supplies in Maspeth, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OPTUM MEDICAL CARE, P.C. NPI is 1558140236. The provider is registered as an organization entity type.

The provider's business location address is:

5901 69TH ST
MASPETH, NY
ZIP 11378-946
Phone: (718) 639-5147
Fax: (718) 639-5184

The provider's authorized official is Richard P Morel .
The authorized official title is President and has the following contact phone number (914) 242-2940.

The CLIA number assigned to this NPI record is 33D2124782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2023 and was last updated on 9/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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