Active NPI
Optimal Care of Rockland Ventures Inc
- Health Service Clinic/Center
- Pearl River, NY
National Provider Identifier
1669875183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 334880
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03078897 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.