Active NPI
Optimum Medical Group Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Columbia, MD
National Provider Identifier
1871472118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- OPTIMUM MEDICAL GROUP INC.
- Practice address
- 7120 Samuel Morse Dr FL 2
Columbia, MD 21046-3419 - Phone
- (443) 537-0012
- NPI assigned
- Aug 30, 2025
- Organization subpart
- Yes
- Parent organization
- OPTIMUM MEDICAL GROUP INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blessing Gabriel, CRNP
- Title
- Ceo
- Phone
- (443) 537-0012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
7120 Samuel Morse Dr FL 2
Columbia, MD 21046-3419
Mailing address
3425 Chapman Rd
Randallstown, MD 21133-3205
National Provider Directory
National Provider Directory- Tax ID family
- Optimum Medical Group Inc
- Part of
- Optimum Medical Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Gwynn Oak, MD
- NPI 1407735749
-
- Developmental Disabilities Clinic/Center
- Eldersburg, MD
- NPI 1790517175
Locations
7120 Samuel Morse Dr
Fl 2
Columbia, MD 21046
Phone (443) 537-0012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756512000000",
"number": "1871472118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 CHAPMAN RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211333205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 SAMUEL MORSE DR FL 2",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463419",
"telephone_number": "443-537-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM MEDICAL GROUP INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPTIMUM MEDICAL GROUP INC.",
"enumeration_date": "2025-08-30",
"last_updated": "2025-08-30",
"certification_date": "2025-08-30",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "BLESSING",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-537-0012",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.