NPIMap

Organization Active NPI

Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Huntington, NY
National Provider Identifier
1174302871
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTUM MEDICAL CARE, P.C.
Practice address
205 E Main St
Huntington, NY 11743-2923
Phone
(631) 427-1500
Fax
(631) 427-2134
NPI assigned
Sep 22, 2023
Last updated
Sep 14, 2026By 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 Sep 14, 2026

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

Authorized official

Name
Jonathan F Nasser, MDNPI 1194713347
Title
Ceo
Phone
(845) 703-6999

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

205 E Main St
Huntington, NY 11743-2923

Mailing address

PO Box 95000
Philadelphia, PA 19195-0001
Phone (914) 241-1050

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0994046Optum Medical Care PC205 East Main Street, Suite 2-8, Huntington, NY 11743Certificate of waiverJan 14, 2027
33D2126341Optum Medical Care PC205 East Main Street - Ste 1-8, Huntington, NY 11743Certificate of waiverFeb 23, 2027

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

205 E Main St
Ste 1-8
Huntington, NY 11743
Phone (631) 427-1500

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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1174302871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432923",
            "telephone_number": "631-427-1500",
            "fax_number": "631-427-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUM MEDICAL CARE, P.C.",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-703-6999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.