Optum Medical Care of New Jersey PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OPTUM MEDICAL CARE OF NEW JERSEY PC

Practice address

201 State RT 17 FL 1202
Rutherford, NJ 07070-2557

Phone

(201) 975-2323

Fax

(201) 975-2325

NPI assigned

May 25, 2022

Organization subpart

No

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

Authorized official

Name

Gaurang Ravaji Brahmbhatt, MD

Title

Cmo

Phone

(201) 636-7233

Specialties & licenses 1

Addresses

Other names 1

• Riverside Medical Group Doing business as

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1346988771",
    "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",
            "fax_number": "551-257-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE RT 17 FL 1202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702557",
            "telephone_number": "201-975-2323",
            "fax_number": "201-975-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "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": "201-636-7233",
        "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": [
        {
            "organization_name": "Riverside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher K O'Boyle, ATC
• Philip Joseph Obiedzinski, DPM
• Jessica Obrien, CPNP
• Arnold Olefson, M.D.
• Bolanle Olugbile
• Steven M Orciuolo, D.D.S.
• Ronald Orinick
• Ece Ozer
• Valerie Pagan, CFOM ATP, CRTS
• Michel Paley, M.D.

• Durable Medical Equipment & Medical Supplies in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• 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.