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

Doing business as

Riverside Medical Group

Practice address

625 Main Ave
Second FL
Passaic, NJ 07055-4952

Phone

(973) 614-9800

Fax

(973) 614-0151

NPI assigned

Feb 23, 2017

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": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1487193454",
    "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": "625 MAIN AVE",
            "address_2": "SECOND FL",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554952",
            "telephone_number": "973-614-9800",
            "fax_number": "973-614-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "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"
        }
    ]
}

• Janet A Odondi, MD
• Samuel Okechukwu
• Maksud Oliva, DPM
• Suzette Omane
• Optimum Pri-Med Care PA
• Orbit Car & Limousine Service
• Gabriela Ortiz, LPC, NCC
• Tatiana Pace
• Natividad Padierna, LCSW
• Kerry-Ann Pagano, RN

• Durable Medical Equipment & Medical Supplies in Passaic, NJ
• Providers in Passaic, 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.