Organization Active NPI

Optimum Medical Services PLLC

  • Family Medicine Physician
  • New Fairfield, CT
National Provider Identifier
1477412070
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMUM MEDICAL SERVICES PLLC
Practice address
88 State Route 37 Ste 6
New Fairfield, CT 06812-5035
Phone
(203) 746-2436
Fax
(203) 734-2363
NPI assigned
Jan 19, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Samentha Gilles, FNPNPI 1063281624
Title
Aprn
Phone
(203) 343-8077

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

88 State Route 37 Ste 6
New Fairfield, CT 06812-5035

Mailing address

119 Old Ansonia Rd
Seymour, CT 06483-3512
Phone (203) 913-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260413001780 CT Part B Supplier - Clinic/Group Practice 6901371491 Receives reassigned benefits from 1 practitioner
Practice locations: Seymour, CT

National Provider Directory

National Provider Directory

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": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1477412070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OLD ANSONIA RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833512",
            "telephone_number": "203-913-4061",
            "fax_number": "203-734-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 STATE ROUTE 37 STE 6",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068125035",
            "telephone_number": "203-746-2436",
            "fax_number": "203-734-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "GILLES",
        "authorized_official_first_name": "SAMENTHA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "203-343-8077",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.

Verify at the official NPI Registry.