Optum Medical Care of New Jersey PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OPTUM MEDICAL CARE OF NEW JERSEY PC

Practice address

324 Palisade Ave
2ND FL
Jersey City, NJ 07307-1791

Phone

(201) 479-8600

Fax

(201) 479-8601

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Gaurang Ravaji Brahmbhatt

Title

Cmo

Phone

(201) 706-8490

Specialties & licenses 1

Addresses

Other names 1

• Riverside Medical Group Doing business as

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1952849796",
    "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": "201-636-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PALISADE AVE",
            "address_2": "2ND FL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071791",
            "telephone_number": "201-479-8600",
            "fax_number": "201-479-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "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"
    },
    "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"
        },
        {
            "organization_name": "Riverside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optical Palace II, LLC
• Optical Palace LLC
• Optical Palace2 LLC
• Optima Care Jersey City, LLC
• Optimized Wellness
• Orange Care DME LLC
• Oriental Chiropractic 3 LLC
• Charlene Oristanio, LPC
• Uzoamaka Ogbonne Orji, PSYCHIATRIC APN
• David Orland, LCSW

• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.