Optimum Medical Care LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA07074500 Issued in NJ

Legal business name

OPTIMUM MEDICAL CARE LLC

Practice address

97 Linden Ave
Elmwood Park, NJ 07407-2248

Phone

(201) 426-4550

NPI assigned

Jan 25, 2013

Last updated

Jan 25, 2013By 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

Mr. Peter C Roblejo, M.D.

Title

Physician

Phone

(908) 285-1626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1801134838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE",
            "address_2": "SUITE 106",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "732-486-3200",
            "fax_number": "877-524-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LINDEN AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072248",
            "telephone_number": "201-426-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "ROBLEJO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-285-1626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07074500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.