Organization Active NPI

Optimal Health Management, LLC

  • Rheumatology Physician
  • East Lyme, CT
National Provider Identifier
1447706734
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
042765 Issued in CT
Legal business name
OPTIMAL HEALTH MANAGEMENT, LLC
Practice address
30 Plum Hill Road
East Lyme, CT 06333-1466
Phone
(860) 691-3389
Fax
(203) 440-9288
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Dr. Sandeep B. Varma, MD, MS
Title
Onwer/Member
Phone
(860) 691-3389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 042765 CT Primary

Addresses

Primary practice location

30 Plum Hill Road
East Lyme, CT 06333-1466

Mailing address

30 Plum Hill Road
East Lyme, CT 06333-1466
Phone (860) 691-3389

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1447706734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PLUM HILL ROAD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331466",
            "telephone_number": "860-691-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PLUM HILL ROAD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331466",
            "telephone_number": "860-691-3389",
            "fax_number": "203-440-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ONWER/MEMBER",
        "authorized_official_telephone_number": "860-691-3389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "042765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.