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OPTUM MEDICAL CARE, P.C.
NPI 1104605872
Durable Medical Equipment & Medical Supplies in Brooklyn, NY

Active since September 22, 2023CLIA Certified · 2 labs
8500 4TH AVE, BROOKLYN, NY 11209(718) 745-0256(718) 833-0505 Get Directions Write a Review

NPPES record last updated: September 22, 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 1104605872) is a healthcare organization registered as a durable medical equipment & medical supplies in Brooklyn, New York and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates and lists Richard P Morel, President, as its authorized official.

NPPES Registry Identity

NPI1104605872
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM MEDICAL CARE, P.C.
Location Address8500 4TH AVEBrooklyn, NY 11209-4662
Mailing Address110 S Bedford RdMount Kisco, NY 10549-3446 · (914) 241-1050 · Fax (914) 242-1516
Phone(718) 745-0256
Fax(718) 833-0505
Organization SubpartYes
Authorized OfficialRichard P MorelPresident · (914) 242-2940
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1104605872 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.
8500 4TH AVE, Brooklyn, NY 11209
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CLIA Laboratory Certificates CMS CLIA 2

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 33D2000488

Optum Medical Care PC · Brooklyn, NY
Active · expires Dec 1, 2027
CLIA Number33D2000488
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. Benjamin Abiri
Laboratory Phone(718) 238-7000
Laboratory LocationOptum Medical Care PC7601 4th Ave,, Brooklyn, NY 11209
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2000490

Optum Medical Care PC · Brooklyn, NY
Active · expires Dec 1, 2027
CLIA Number33D2000490
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. Benjamin Abiri
Laboratory Phone(718) 921-0333
Laboratory LocationOptum Medical Care PC9920 4th Ave,, Brooklyn, NY 11209
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 2

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

DR. SAMEH MOHAMED ABUELKHIR MD
Internal Medicine
8500 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 747-9063
DR. MOHAMED A MOUSTAFA DOCTOR OF PHYSICAL T
Physical Therapist
8500 4TH AVE, 5G
BROOKLYN, NY 11209
Kings County (718) 833-7819

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 1104605872. It was assigned to this organization in the NPPES registry on September 22, 2023.

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

Optum Medical Care, P.C. is located at 8500 4th Ave, Brooklyn, NY 11209. The listed phone number is (718) 745-0256.

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. 2 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 22, 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.