MEDICARE: OPTUM MEDICAL CARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1447116298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM MEDICAL CARE, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 95000
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19195-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 S BEDFORD RD
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3412
Country	:	US
Telephone Number	:	914-242-1370
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN F NASSER
Credential	:	MD
Telephone Number	:	845-703-6999

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	03/11/2026

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