Optum Medical Care Of New Jersey Pc
Pediatrics
1 Dakota Dr, New Hyde Park
New York, 11042-1135
516-627-1811 516-627-1315
Optum Medical Care Of New Jersey Pc is a Pediatrics in New Hyde Park, New York. It is located at 1 Dakota Dr, New Hyde Park and it's customer support contact number is 516-627-1811. The authorized person of Optum Medical Care Of New Jersey Pc is Gaurang Brahmbhatt, MD who is Vp General Management of this DME and his contact number is 201-706-8490. Active license number of Optum Medical Care Of New Jersey Pc is 25MA03363500 for Pediatrics in New Jersey. Optum Medical Care Of New Jersey Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Optum Medical Care Of New Jersey Pc is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
DME Supplier Details:
Optum Medical Care Of New Jersey Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Optum Medical Care Of New Jersey Pc |
| Type: | Pediatrics |
| Location: | 1 Dakota Dr, New Hyde Park,
New York, 11042-1135 |
| Phone: | 516-627-1811 |
| Fax: | 516-627-1315 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Gaurang Brahmbhatt |
| Credentials: | MD |
| Position: | Vp General Management |
| Contact Number: | 201-706-8490 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1578665048 |
| NPI Enumeration Date: | 03 Sep, 2006 |
| NPI Last Update On: | 11 Aug, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Optum Medical Care Of New Jersey Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatrics | 25MA03363500 | New Jersey | Primary | |
| Internal Medicine | 25MA08407900 | New Jersey | Secondary | |
| Durable Medical Equipment & Medical Supplies | | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9088008 | Medicaid | New Jersey | |
Medicare Enrollment:
Optum Medical Care Of New Jersey Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3072650290 | O20091021000129 | Optum Medical Care Of New Jersey Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Dakota Dr,
New Hyde Park, New York |
| Zip: | 11042-1135 |
| Phone Number: | 516-627-1811 |
| Fax Number: | 516-627-1315 |
Patients can reach Optum Medical Care Of New Jersey Pc at
1 Dakota Dr, New Hyde Park, New York or can
call on customer care at 516-627-1811.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.