NPIMap

Organization Active NPI

Optum Clinical Services, Inc.

  • Skilled Nursing Facility
  • Hicksville, NY
National Provider Identifier
1124393020
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
F3058651 Issued in NY
Legal business name
OPTUM CLINICAL SERVICES, INC.
Practice address
4 Sutherland Rd
Hicksville, NY 11801-1622
Phone
(516) 241-0468
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Vielka Arias
Title
Administrative Assistant Credential
Phone
(212) 216-6436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X F3058651 NY Primary

Addresses

Primary practice location

4 Sutherland Rd
Hicksville, NY 11801-1622

Mailing address

4 Sutherland Rd
Hicksville, NY 11801-1622
Phone (516) 241-0468

Other names 1

  • UnitedHealth Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Optum Clinical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1124393020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SUTHERLAND RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011622",
            "telephone_number": "516-241-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUTHERLAND RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011622",
            "telephone_number": "516-241-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CLINICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "VIELKA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT CREDENTIAL",
        "authorized_official_telephone_number": "212-216-6436"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "F3058651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnitedHealth Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.