OPTUM MEDICAL CARE, P.C.
NPI 1275312977
Durable Medical Equipment & Medical Supplies in Syosset, NY

Active since September 22, 2023CLIA Certified · 9 labs
575 UNDERHILL BLVD STE 190, SYOSSET, NY 11791(516) 210-8840(516) 210-8842 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 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 1275312977) is a healthcare organization registered as a durable medical equipment & medical supplies in Syosset, New York and active in the NPI registry since September 2023. The organization holds 9 active CLIA laboratory certificates and lists Richard P Morel, President, as its authorized official.

NPPES Registry Identity

NPI1275312977
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM MEDICAL CARE, P.C.
Location Address575 UNDERHILL BLVD STE 190Syosset, NY 11791-3494
Mailing Address110 S Bedford RdMount Kisco, NY 10549-3446 · (914) 241-1050 · Fax (914) 242-1516
Fax(516) 210-8842
Organization SubpartYes
Authorized OfficialRichard P MorelPresident · (914) 242-2940
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1275312977 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.
575 UNDERHILL BLVD STE 190, Syosset, NY 11791

CLIA Laboratory Certificates CMS CLIA 9

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 33D0931082

Optum Medical Care PC · Syosset, NY
Active · expires Jul 21, 2027
CLIA Number33D0931082
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorDr. Richard Federbush
Laboratory Phone(516) 210-8840
Laboratory LocationOptum Medical Care PC575 Underhill Blvd, Suite 190, Syosset, NY 11791
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2261032

Optum Medical Care PC · Syosset, NY
Active · expires May 24, 2028
CLIA Number33D2261032
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorDr. Adam Landskowsky
Laboratory Phone(516) 696-2977
Laboratory LocationOptum Medical Care PC575 Underhill Blvd, Suite 140, Syosset, NY 11791
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D0667934

Optum Medical Care PC · Syosset, NY
Active · expires May 18, 2028
CLIA Number33D0667934
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorDr. William J. Mesibov
Laboratory Phone(516) 921-2122
Laboratory LocationOptum Medical Care PC575 Underhill Blvd, Suite 310, Syosset, NY 11791
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 33D0160254

Optum Medical Care PC · Syosset, NY
Active · expires May 11, 2028
CLIA Number33D0160254
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorDr. Vlassi Baktidy
Laboratory Phone(516) 933-1088
Laboratory LocationOptum Medical Care PC575 Underhill Blvd, Suite 177, Syosset, NY 11791
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0947794

Optum Medical Care PC · Syosset, NY
Active · expires Dec 5, 2027
CLIA Number33D0947794
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorDr. Paul R. Pervil
Laboratory Phone(516) 822-4404
Laboratory LocationOptum Medical Care PC575 Underhill Blvd - Ste 200 & 210, Syosset, NY 11791
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D2008856

Optum Medical Care PC · Syosset, NY
Active · expires Aug 3, 2027
CLIA Number33D2008856
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorDr. Darren K. Mollick
Laboratory Phone(516) 921-7546
Laboratory LocationOptum Medical Care PC575 Underhill Blvd, Suite 100, Syosset, NY 11791
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

Family Medicine
575 UNDERHILL BLVD STE 190
SYOSSET, NY 11791
Internal Medicine
575 UNDERHILL BLVD STE 190
SYOSSET, NY 11791
Family Medicine (Obesity Medicine)
575 UNDERHILL BLVD STE 190
SYOSSET, NY 11791

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 1275312977. 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 575 Underhill Blvd Ste 190, Syosset, NY 11791. The listed phone number is (516) 210-8840.

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. 9 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.