Organization · Type 2 NPI

Optum Medical Care of New Jersey PC

Durable Medical Equipment & Medical Supplies · Bayonne, NJ

NPI number 1063959211 Active

Practice location

544 Broadway
Bayonne, NJ 07002

Call (551) 257-7038 Map

Fax (201) 552-2358

Mailing address

1 Harmon Plz Fl 10
Secaucus, NJ 07094-2803

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other durable medical equipment & medical supplies providers in Bayonne

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NPI record

NPI: 1063959211
Entity type: Organization (Type 2)
Issued: Jan 26, 2017
Last updated: Jun 2, 2023
Status: Active

Other names

<unavail>
Riverside Medical Group · doing business as
Riverside Medical Group · doing business as

Authorized official

Gaurang Ravaji Brahmbhatt, MD
CMO
(201) 706-8490

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063959211

Optum Medical Care of New Jersey PC's National Provider Identifier is 1063959211, issued on Jan 26, 2017. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Bayonne, NJ. The record was last updated on Jun 2, 2023.