NPIMap

Organization Active NPI

Optum Medical Care, P.C.

Doing business as CareMount Medical, P.C.

  • Clinical Medical Laboratory
  • Brewster, NY
National Provider Identifier
1013442029
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OPTUM MEDICAL CARE, P.C.
Doing business as
CareMount Medical, P.C.
Practice address
2 International Blvd
Brewster, NY 10509
Phone
(914) 241-1050
Fax
(914) 242-1516
NPI assigned
Apr 27, 2017
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTUM MEDICAL CARE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott D HayworthNPI 1659324853
Title
Ceo
Phone
(914) 302-8392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2 International Blvd
Brewster, NY 10509

Mailing address

110 S. Bedford Road
Mount Kisco, NY 10549
Phone (914) 242-5621

Other names 1

  • CareMount Medical, P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Karen B Pasieka35 organizations share this tax ID, including this one
Part of
Karen B Pasieka

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

2 International Blvd
Brewster, NY 10509
Phone (452) 304-0218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1013442029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S. BEDFORD ROAD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-242-5621",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL BLVD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUM MEDICAL CARE, P.C.",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HAYWORTH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-302-8392"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMount Medical, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.