Optum Medical Care of New Jersey PC
NPI 1578665048ActiveOrganization· Pediatrics· New Hyde Park, NY
Pediatrics in New Hyde Park, New York, registered in NPPES in September 2006. The authorized official on file is Gaurang Brahmbhatt, MD, Vp General Management. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578665048 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2006 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 25MA03363500 | NJ |
| Internal Medicine | 207R00000X | 25MA08407900 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Pediatrics providers in New Hyde Park
- 1528589389
- 1114623659
- 1720350119
- 1417673344
- 1417074212
- 1013184761
- 1629656434
- 1053723452
- 1669649927
- 1619670668
- 1619210945
- 1891679452