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OPTIMUM CARE FAMILY MEDICINE, LLC
NPI 1134832116
Family Medicine - Adult Medicine in Smithtown, NY

Active since January 04, 2023CLIA 33D0159153 · Waiver
321 E MAIN ST STE 1, SMITHTOWN, NY 11787(631) 265-4606(631) 265-4675 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2023, Feb 1, 2023, Jan 4, 2023 (3 updates tracked since 2023).

About Optimum Care Family Medicine, Llc NPPES

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

OPTIMUM CARE FAMILY MEDICINE, LLC (NPI 1134832116) is a healthcare organization registered as an adult medicine in Smithtown, New York and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Anna Kapsalis-rambalakos, Owner, as its authorized official.

NPPES Registry Identity

NPI1134832116
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameOPTIMUM CARE FAMILY MEDICINE, LLC
Location Address321 E MAIN ST STE 1Smithtown, NY 11787-2820
Mailing Address321 E Main St Ste 1Smithtown, NY 11787-2820 · (631) 265-4606 · Fax (631) 265-4675
Phone(631) 265-4606
Fax(631) 265-4675
Organization SubpartNo
Authorized OfficialAnna Kapsalis-rambalakosOwner · (631) 265-4609
Enumeration DateJanuary 4, 2023
Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1134832116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
321 E MAIN ST STE 1, Smithtown, NY 11787
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 33D0159153

Optimum Care Family Medicine LLC · Smithtown, NY
Active · expires Sep 2, 2026
CLIA Number33D0159153
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorDr. Anna Kapsalis-Rambalakos
Laboratory Phone(631) 265-4606
Laboratory LocationOptimum Care Family Medicine LLC321 Middle Country Rd, Suite 1, Smithtown, NY 11787
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Optimum Care Family Medicine, LLC's NPI number?

The NPI number for Optimum Care Family Medicine, LLC is 1134832116. It was assigned to this organization in the NPPES registry on January 4, 2023.

Where is Optimum Care Family Medicine, LLC located?

Optimum Care Family Medicine, LLC is located at 321 E Main St Ste 1, Smithtown, NY 11787. The listed phone number is (631) 265-4606.

What is Optimum Care Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Optimum Care Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0159153) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optimum Care Family Medicine, LLC was last updated on October 18, 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.