NPIMap

Organization Active NPI

Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Springfield, NJ
National Provider Identifier
1902646623
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTUM MEDICAL CARE OF NEW JERSEY PC
Practice address
55 Morris Ave
Springfield, NJ 07081-1426
Phone
(908) 687-7250
Fax
(973) 736-8355
NPI assigned
May 30, 2024
Organization subpart
Yes
Parent organization
OPTUM MEDICAL CARE OF NEW JERSEY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Gaurang Ravaji Brahmbhatt, MD
Title
Cmo
Phone
(201) 706-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

55 Morris Ave
Springfield, NJ 07081-1426

Mailing address

1 Harmon PLZ FL 10
Secaucus, NJ 07094-2803
Phone (551) 257-7030

Other names 1

  • Riverside Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Pediatric Group PC5 organizations share this tax ID, including this one
Part of
Riverside Pediatric Group PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1902646623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARMON PLZ FL 10",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942803",
            "telephone_number": "551-257-7030",
            "fax_number": "551-257-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811426",
            "telephone_number": "908-687-7250",
            "fax_number": "973-736-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE OF NEW JERSEY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUM MEDICAL CARE OF NEW JERSEY PC",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "BRAHMBHATT",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "RAVAJI",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "201-706-8490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.