Organization Active NPI

Optimum Heart Associates PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1588093470
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OPTIMUM HEART ASSOCIATES PLLC
Practice address
1946 Bath Ave
Brooklyn, NY 11214-4704
Phone
(718) 360-0760
Fax
(781) 523-2482
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Amgad Botros, MD
Title
MD
Phone
(917) 907-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1946 Bath Ave
Brooklyn, NY 11214-4704

Mailing address

66 Sugar Maple Dr
Roslyn, NY 11576-3229
Phone (718) 360-0760

Other practice location 1

6903 4th Ave
Brooklyn, NY 11209-1509
Phone (718) 360-0760

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1588093470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUGAR MAPLE DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763229",
            "telephone_number": "718-360-0760",
            "fax_number": "781-523-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144704",
            "telephone_number": "718-360-0760",
            "fax_number": "781-523-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6903 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112091509",
            "country_code": "US",
            "telephone_number": "718-360-0760",
            "fax_number": "781-523-2482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM HEART ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2023-03-01",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-907-2819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.