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NPI Code Detail

MEDICARE: OPTUM MEDICAL CARE, P.C.

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
1213E00000XPodiatrist
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1083573539
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 : 185 ROUTE 312
Second Line :
City : BREWSTER
State : NY
Zip : 10509-2337
Country : US
Telephone Number : 845-278-7000
Fax Number :
Authorized Official
Title or Position : CEO
Name : JONATHAN F NASSER
Credential : MD
Telephone Number : 845-703-6999
Provider Enumeration Date : 01/20/2026
Last Update Date : 03/10/2026

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Directions to “OPTUM MEDICAL CARE, P.C. ” Practice Location

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