Healthcare Provider Details

I. General information

NPI: 1336206002
Provider Name (Legal Business Name): OPTUM OF NEW YORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E SUNRISE HWY STE 522&540
VALLEY STREAM NY
11581-1240
US

IV. Provider business mailing address

2100 RIVEREDGE PKWY SUITE 500
ATLANTA GA
30328-4693
US

V. Phone/Fax

Practice location:
  • Phone: 800-950-3963
  • Fax: 678-260-2793
Mailing address:
  • Phone: 770-767-4500
  • Fax: 678-355-4092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARLENE RIGGINS-JONES
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 763-797-2315