Active NPI
Optimum Health and Wellness
- Family Medicine Physician
- Mineola, NY
National Provider Identifier
1427614734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OPTIMUM HEALTH AND WELLNESS
- Practice address
- 158 Jericho Tpke
Mineola, NY 11501-1701 - Phone
- (516) 526-6144
- Fax
- (516) 517-9515
- NPI assigned
- May 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Dos Santos
- Title
- Owner
- Phone
- (516) 526-6144
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
158 Jericho Tpke
Mineola, NY 11501-1701
Mailing address
158 Jericho Tpke
Mineola, NY 11501-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
158 Jericho Tpke
Mineola, NY 11501
Phone (516) 526-6144
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Mineola, NY
- NPI 1346682739
-
- Family Nurse Practitioner
- Mineola, NY
- NPI 1033986377
-
- Transplant Surgery Physician
- Manhasset, NY
- NPI 1366189540
-
- Family Nurse Practitioner
- Brentwood, NY
- NPI 1588022578
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1942230362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1427614734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 JERICHO TPKE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115011701",
"fax_number": "516-517-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 JERICHO TPKE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115011701",
"telephone_number": "516-526-6144",
"fax_number": "516-517-9515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-13",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "DOS SANTOS",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-526-6144"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.