Optimum Care Family Medicine, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

OPTIMUM CARE FAMILY MEDICINE, LLC

Practice address

321 E Main St Ste 1
Smithtown, NY 11787-2820

Phone

(631) 265-4606

Fax

(631) 265-4675

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Anna Kapsalis-Rambalakos, MDNPI 1093985574

Title

Owner

Phone

(631) 265-4609

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Kapsalis Rambalakos, MD

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1093985574
  Medicare reassignment NPD Authorized official
• Nicholas Livrieri

  • Family Medicine Physician
  • Smithtown, NY
  • NPI 1669578985
  Medicare reassignment NPD
• Nikolaos Kapsalis, PA-C, MPAS

  • Physician Assistant
  • Smithtown, NY
  • NPI 1922496900
  Medicare reassignment
• Steven Andrew Jacobs, D.O.

  • Family Medicine Physician
  • Rockville Centre, NY
  • NPI 1447218532
  NPD (past)
• Mary J Korpacz Fink, D.O.

  • Family Medicine Physician
  • Islip, NY
  • NPI 1770543068
  NPD (past)
• Gabrielle N Paulicelli, AGPCNP

  • Adult Health Nurse Practitioner
  • Smithtown, NY
  • NPI 1174895973
  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1134832116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST STE 1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872820",
            "telephone_number": "631-265-4606",
            "fax_number": "631-265-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST STE 1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872820",
            "telephone_number": "631-265-4606",
            "fax_number": "631-265-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "KAPSALIS-RAMBALAKOS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-4609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin F Olson II, MD
• Omni Medical 360 PLLC
• Omni Physical Therapy
• Oprx #11787, LLC
• Optima Care Smithtown LLC
• Optimum Care Family Medicine, LLC
• Optimum Mens Health LLC
• Optum Medical Care, P.C.
• Stella Orlando
• Andri Warren G Ortega X, PTA

• Adult Medicine Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.