Active NPI
Optimal Professional Health Services PC
- General Practice Physician
- Norwood, MA
National Provider Identifier
1881059665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- OPTIMAL PROFESSIONAL HEALTH SERVICES PC
- Practice address
- 1418 Providence Hwy
Suite N
Norwood, MA 02062-4655 - Phone
- (617) 964-1440
- Fax
- (617) 964-7833
- NPI assigned
- Dec 22, 2015
- Last updated
- May 11, 2016
- 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
- Joseph A Russo, MD
- Title
- Owner
- Phone
- (617) 364-1440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
1418 Providence Hwy
Suite N
Norwood, MA 02062-4655
Mailing address
944 Washington St
Suite One
South Easton, MA 02375-1177
Phone (508) 238-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110109264A | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Newton Centre, MA
- NPI 1598732240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462924800000",
"number": "1881059665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 WASHINGTON ST",
"address_2": "SUITE ONE",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751177",
"telephone_number": "508-238-8646",
"fax_number": "508-230-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 PROVIDENCE HWY",
"address_2": "SUITE N",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624655",
"telephone_number": "617-964-1440",
"fax_number": "617-964-7833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL PROFESSIONAL HEALTH SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2016-05-11",
"status": "A",
"authorized_official_last_name": "RUSSO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-364-1440",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110109264A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
- Margaret Oloyede
- Om Diagnostic Laboratories Inc.
- Virginia C Oneil, PA-C
- Henry Oppong
- Optimal Professional Health Services PC
- Option Care Enterprises, Inc. (Option Care)
- Nicole M Orr, M.D.
- Orthopaedic Specialists of Massachusetts LLC
- Orthopaedic Specialists of Massachusetts PC
- Orthopedics and Sports Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.