Organization Active NPI

Optimal Care of Rockland Ventures Inc

  • Health Service Clinic/Center
  • Pearl River, NY
National Provider Identifier
1669875183
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
334880 Issued in NY
Legal business name
OPTIMAL CARE OF ROCKLAND VENTURES INC
Practice address
282 N Middletown Rd
Pearl River, NY 10965-1216
Phone
(201) 838-0239
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Yves E Casimir, FNP
Title
Nurse Practitioner
Phone
(201) 838-0239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 334880 NY Primary

Addresses

Primary practice location

282 N Middletown Rd
Pearl River, NY 10965-1216

Mailing address

282 N Middletown Rd
Pearl River, NY 10965-1216
Phone (201) 838-0239

Other identifiers 1

IdentifierTypeStateIssuer
03078897MedicaidNY

National Provider Directory

National Provider Directory

Locations

282 N Middletown Rd
Pearl River, NY 10965
Phone (201) 838-0239

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1669875183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651216",
            "telephone_number": "201-838-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651216",
            "telephone_number": "201-838-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE OF ROCKLAND VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "CASIMIR",
        "authorized_official_first_name": "YVES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "201-838-0239",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "334880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03078897",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.