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OPTUM MEDICAL CARE, P.C.
NPI 1053190595
Durable Medical Equipment & Medical Supplies in New Hyde Park, NY

Active since September 25, 2023CLIA Certified · 25 labs
2800 MARCUS AVE STE 102, NEW HYDE PARK, NY 11042(516) 622-6040(516) 622-6091 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optum Medical Care, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM MEDICAL CARE, P.C. (NPI 1053190595) is a healthcare organization registered as a durable medical equipment & medical supplies in New Hyde Park, New York and active in the NPI registry since September 2023. The organization holds 25 active CLIA laboratory certificates and lists Richard P Morel, President, as its authorized official.

NPPES Registry Identity

NPI1053190595
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM MEDICAL CARE, P.C.
Location Address2800 MARCUS AVE STE 102New Hyde Park, NY 11042-1008
Mailing Address110 S Bedford RdMount Kisco, NY 10549-3446 · (914) 241-1050 · Fax (914) 242-1516
Phone(516) 622-6040
Fax(516) 622-6091
Organization SubpartYes
Authorized OfficialRichard P MorelPresident · (914) 242-2940
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1053190595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
2800 MARCUS AVE STE 102, New Hyde Park, NY 11042
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CLIA Laboratory Certificates CMS CLIA 25

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2202837

Optum Medical Care PC · Lake Success, NY
Active · expires Nov 30, 2026
CLIA Number33D2202837
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. Bryan Ding
Laboratory Phone(516) 622-6040
Laboratory LocationOptum Medical Care PC2800 Marcus Avenue Suite 102, Lake Success, NY 11042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2259994

Optum Medical Care PC · Lake Success, NY
Active · expires May 12, 2028
CLIA Number33D2259994
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorDr. Rina Caprarella
Laboratory Phone(516) 622-6088
Laboratory LocationOptum Medical Care PC2 Ohio Drive, Suite 101, Lake Success, NY 11042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0697467

Optum Medical Care PC · Lake Success, NY
Active · expires Feb 29, 2028
CLIA Number33D0697467
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Jeffrey N. Berger
Laboratory Phone(516) 390-2400
Laboratory LocationOptum Medical Care PC1 Dakota Drive, Suite 310, Lake Success, NY 11042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2136795

Optum Medical Care PC · Lake Success, NY
Active · expires Sep 14, 2027
CLIA Number33D2136795
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorDr. Scott Mandel
Laboratory Phone(516) 622-6000
Laboratory LocationOptum Medical Care PC1 Dakota Drive - Ste 120, Lake Success, NY 11042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2235177

Optum Medical Care PC · Lake Success, NY
Active · expires Sep 6, 2027
CLIA Number33D2235177
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorDr. Lawrence D. Shulman
Laboratory Phone(516) 622-2995
Laboratory LocationOptum Medical Care PC3 Delaware Drive Suite 201, Lake Success, NY 11042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0685152

Optum Medical Care PC · Lake Success, NY
Active · expires Jul 23, 2027
CLIA Number33D0685152
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. George I. Varghese
Laboratory Phone(516) 608-2830
Laboratory LocationOptum Medical Care PC3 Delaware Drive, Suite 205B, Lake Success, NY 11042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER VOLPI MD
Orthopaedic Surgery (Sports Medicine)
2800 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042
Nassau County (914) 260-5459
BRYAN DING MD
Orthopaedic Surgery
2800 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6040
MR. CHRISTOPHER KOULOURIS PA-C
Physician Assistant
2800 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6040
DR. JAMES THOMAS ANDERSON M.D.
Internal Medicine (Sports Medicine)
2800 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6100
DELROY C ALLEN PA-C
Physician Assistant
2800 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optum Medical Care, P.C.'s NPI number?

The NPI number for Optum Medical Care, P.C. is 1053190595. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Optum Medical Care, P.C. located?

Optum Medical Care, P.C. is located at 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042. The listed phone number is (516) 622-6040.

What is Optum Medical Care, P.C.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Optum Medical Care, P.C. hold CLIA laboratory certificates?

Yes. 25 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Optum Medical Care, P.C. was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.