Organization Active NPI

Optum Medical Care of New Jersey PC

Doing business as Riverside Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
National Provider Identifier
1255050902
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTUM MEDICAL CARE OF NEW JERSEY PC
Doing business as
Riverside Medical Group
Practice address
195 Cortlandt St
Belleville, NJ 07109-3128
Phone
(973) 759-1221
NPI assigned
Aug 25, 2022
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Gaurang Ravaji Brahmbhatt, MDNPI 1225204266
Title
Cmo
Phone
(551) 257-7030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

195 Cortlandt St
Belleville, NJ 07109-3128

Mailing address

1 Harmon PLZ FL 10
Secaucus, NJ 07094-2803
Phone (201) 636-7233

Other names 1

  • Riverside Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

195 Cortlandt St
Belleville, NJ 07109
Phone (973) 429-2209

142 Highway 35
Ste 104
Eatontown, NJ 07724
Phone (732) 542-0777

1126 US Highway 1
Edison, NJ 08817
Phone 85538852984145

1111 Hudson St
Hoboken, NJ 07030
Phone (201) 942-9314

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

1 Maywood Ave
Maywood, NJ 07607
Phone (201) 464-4772

1 Maywood Ave
Fl 2
Maywood, NJ 07607
Phone (201) 968-5967

251 N Broadway
Pennsville, NJ 08070
Phone (856) 678-3469

200 Main St
Ridgefield Park, NJ 07660
Phone (201) 863-3346

47 Orient Way
Fl 3C
Rutherford, NJ 07070
Phone (201) 636-2653

55 Morris Ave
Ste 100
Springfield, NJ 07081
Phone (908) 687-7250

40 Bey Lea Rd
Ste C103
Toms River, NJ 08753
Phone (732) 367-8280

875 Mantua Pike
Ste B
Woodbury, NJ 08096
Phone (856) 384-5949

Practitioners & affiliated clinicians

Practitioners 475

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.

View all 475

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1255050902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARMON PLZ FL 10",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942803",
            "telephone_number": "201-636-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CORTLANDT ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093128",
            "telephone_number": "973-759-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "BRAHMBHATT",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "RAVAJI",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "551-257-7030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.