NPI 1508606237
Optum Medical Care of New Jersey PC
Practice location
- Address
- 264 Boyden Ave, Maplewood, NJ 07040-3070
- Phone
- (973) 761-5200
- Fax
- (973) 761-7617
- Mailing address
- 1 Harmon Plz Fl 10, Secaucus, NJ 07094-2803
Authorised official
- Name
- Gaurang Ravaji Brahmbhatt
- Title
- Credentialing Supervisor
- Phone
- (201) 706-8490
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1508606237
- Entity type
- Organization
- NPI issued
- 30 May 2024
- Record last updated
- 30 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.