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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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1558140236
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTUM MEDICAL CARE, P.C.
Provider Business Mailing Address
First Line : PO BOX 95000-8363
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19195-0001
Country : US
Telephone Number : 914-241-1050
Fax Number :
Provider Business Practice Location Address
First Line : 5901 69TH ST
Second Line :
City : MASPETH
State : NY
Zip : 11378-2946
Country : US
Telephone Number : 718-639-5147
Fax Number : 718-639-5184
Authorized Official
Title or Position : CEO
Name : JONATHAN F NASSER
Credential : MD
Telephone Number : 845-703-6999
Provider Enumeration Date : 09/22/2023
Last Update Date : 04/07/2026

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

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