Optimum Mens Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OPTIMUM MENS HEALTH LLC

Practice address

1056 W Jericho Tpke
Smithtown, NY 11787-3212

Phone

(631) 486-9100

Fax

(631) 486-9102

NPI assigned

May 18, 2019

Last updated

May 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Rosario, DNP, AGNPNPI 1427512763

Title

Owner/Managing Partner

Phone

(631) 486-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Joseph Rosario, DNP-AGNP

  • Adult Health Nurse Practitioner
  • Smithtown, NY
  • NPI 1427512763
  NPD Authorized official
• Eric S. Seigel, P.A.- C, DFAAPA, PHD

  • Physician Assistant
  • Commack, NY
  • NPI 1932185972
  NPD (past)

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558137600000",
    "number": "1497311047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873212",
            "telephone_number": "631-486-9100",
            "fax_number": "631-486-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873212",
            "telephone_number": "631-486-9100",
            "fax_number": "631-486-9102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Old Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117585545",
            "country_code": "US",
            "telephone_number": "347-203-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM MENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "631-486-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, AGNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346682739",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427512763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omni Physical Therapy
• Oprx #11787, LLC (OnPoint Pharmacy of Smithtown)
• Optima Care Smithtown LLC
• Optimum Care Family Medicine, LLC
• Optimum Care Family Medicine, LLC
• Optum Medical Care, P.C.
• Stella Orlando
• Andri Warren G Ortega X, PTA
• Kathryn Elizabeth Ortsman
• Kathleen Osman, RPA-C

• Primary Care Clinic/Center in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.