Optimal Care Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OPTIMAL CARE PEDIATRICS LLC

Practice address

150 SW Chamber CT Ste 101
Port Saint Lucie, FL 34986

Phone

(772) 301-0123

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Monique Mondesir, MDNPI 1770894438

Title

Owner

Phone

(772) 301-0123

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Michelle Mondesir, M.D.

  • Pediatrics Physician
  • Port St Lucie, FL
  • NPI 1770894438
  Medicare reassignment Care Compare group Authorized official
• Lorena Sousa, MD

  • Internal Medicine Physician
  • Port St Lucie, FL
  • NPI 1679000756
  Medicare reassignment Care Compare group NPD
• Kristi Roske, APRN

  • Pediatric Nurse Practitioner
  • Vero Beach, FL
  • NPI 1225275209
  Medicare reassignment NPD
• Jennifer Rae Witt, CPNP

  • Pediatric Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1629190731
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1861909384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT STE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-301-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT STE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-301-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "MONDESIR",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-301-0123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Randall Corey Orem, D.O.
• Miriam A Orieta, MA
• Selena Oropesa
• Rosaly Orta Garcia

• Pediatrics Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.