Organization Active NPI

Optum Medical Care, P.C.

Doing business as CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
National Provider Identifier
1982643003
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OPTUM MEDICAL CARE, P.C.
Doing business as
CareMount Medical, P.C.
Practice address
90 South Bedford Rd
Mt Kisco Medical Group PC
Mount Kisco, NY 10549-3412
Phone
(914) 241-1050
Fax
(914) 242-1516
NPI assigned
Jun 5, 2006
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Jonathan Nasser, MD
Title
President Optum Tri State
Phone
(914) 242-2940

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X
Dermatology Physician 207N00000X
Cardiovascular Disease Physician 207RC0000X Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Gastroenterology Physician 207RG0100X
Hematology (Internal Medicine) Physician 207RH0000X
Hematology & Oncology Physician 207RH0003X
Gynecology Physician 207VG0400X
Orthopaedic Hand Surgery Physician 207XS0106X
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X
Colon & Rectal Surgery Physician 208C00000X
Audiologist 231H00000X
Advanced Practice Midwife 367A00000X

Addresses

Primary practice location

90 South Bedford Rd
Mt Kisco Medical Group PC
Mount Kisco, NY 10549-3412

Mailing address

PO Box 95000-8363
Philadelphia, PA 19195-0001
Phone (914) 241-1050

Other identifiers 2

IdentifierTypeStateIssuer
00547351MedicaidNY
CA0060OtherNYMEDICARE RAILROAD

Other names 1

  • CareMount Medical, P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031119000321 NY Part B Supplier - Clinic/Group Practice 9931013240 Receives reassigned benefits from 1,787 practitioners
O20190326000454 CT Part B Supplier - Clinic/Group Practice 9931013240 Receives reassigned benefits from 4 practitioners
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2050 Route 22
Ste 404
Brewster, NY 10509

665 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 279-2000

1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450

600 Westage Business Ctr Dr
#D
Fishkill, NY 12524

600 Westage Business Ctr Dr
Fl 3
Fishkill, NY 12524

280 N Central Ave
Ste 235
Hartsdale, NY 10530
Phone (914) 332-0396

3680 Hill Blvd
Jefferson Valley, NY 10535
Phone (914) 245-7700

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Practitioners & affiliated clinicians

Practitioners 1,822

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.

View all 1,822

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1982643003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-8363",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTH BEDFORD RD",
            "address_2": "MT KISCO MEDICAL GROUP PC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493412",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT OPTUM TRI STATE",
        "authorized_official_telephone_number": "914-242-2940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00547351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA0060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMount Medical, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.