Active NPI
Optimum Health Care, LLC
- Internal Medicine Physician
- Maplewood, NJ
National Provider Identifier
1508970864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA057613
- Legal business name
- OPTIMUM HEALTH CARE, LLC
- Practice address
- 2040 Millburn Ave
Suite 401
Maplewood, NJ 07040-3726 - Phone
- (973) 378-2266
- NPI assigned
- Aug 17, 2006
- 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
- Jenny Drice, M.D.
- Title
- President
- Phone
- (973) 378-2266
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA057613 | NJ | Primary |
Addresses
Primary practice location
2040 Millburn Ave
Suite 401
Maplewood, NJ 07040-3726
Mailing address
2040 Millburn Ave
Suite 401
Maplewood, NJ 07040-3726
Phone (973) 378-2266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA057613 | Other | NJ | MEDICAL LICENSE |
| 6659403 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1265546501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508970864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 MILLBURN AVE",
"address_2": "SUITE 401",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403726",
"telephone_number": "973-378-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 MILLBURN AVE",
"address_2": "SUITE 401",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403726",
"telephone_number": "973-378-2266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DRICE",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-378-2266",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA057613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MA057613",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6659403",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
- Okey Nutrition Consulting
- Patricia Ngozi Okorie, FNP-BC
- Georgeana Chinoyelum Okoro, RN, MSN, APN APPLICA
- Rachael Olubunmi Olaode, PMHNP
- Mary Chris Ong, MSW, LSW
- Optum Medical Care of New Jersey PC
- Organized Concepts, LLC
- Orion Healthcare LLC
- Pierre Arthur Oscar, ACSW, LCSW, MSW, MA
- Osha Data/Cih, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.