Active NPI
Optum Medical Care, P.C.
Doing business as CareMount Medical, P.C.
- Cardiovascular Disease Physician
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, 2024
- 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
- Jonathan Nasser, MD
- Title
- President Optum Tri State
- Phone
- (914) 242-2940
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00547351 | Medicaid | NY | |
| CA0060 | Other | NY | MEDICARE RAILROAD |
Other names 1
- CareMount Medical, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba The Ambulatory Surgery Center of Westchester
- Ambulatory Surgical Clinic/Center
- Mount Kisco, NY
- NPI 1831274208
Member Of
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1568876472
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1184039463
-
- Orthopedic Physical Therapist
- Valley Stream, NY
- NPI 1760258198
-
- Clinical Cardiac Electrophysiology Physician
- Mount Kisco, NY
- NPI 1063755213
-
- Obstetrics & Gynecology Physician
- Babylon, NY
- NPI 1760063002
-
- Orthopaedic Surgery Physician
- Garden City, NY
- NPI 1720393259
-
- Internal Medicine Physician
- Great Neck, NY
- NPI 1033205265
-
- Women's Health Nurse Practitioner
- Cortlandt Manor, NY
- NPI 1689893828
-
- Diagnostic Radiology Physician
- New Hyde Park, NY
- NPI 1801814249
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1821012436
-
- Obstetrics & Gynecology Physician
- Poughkeepsie, NY
- NPI 1275560492
-
- Gastroenterology Physician
- New Hyde Park, NY
- NPI 1053364323
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.