OPTUM MEDICAL CARE, P.C.
NPI 1417736109
Durable Medical Equipment & Medical Supplies in Bethpage, NY
NPI Status: Active since September 22, 2023
Contact Information
4045 HEMPSTEAD TPKE STE 202
BETHPAGE, NY
ZIP 11714
Phone: (516) 396-1027
Fax: (516) 396-1019
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 33D2169750
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-29-2026
About OPTUM MEDICAL CARE, P.C.
This page provides the complete NPI Profile along with additional information for Optum Medical Care, P.c., a provider established in Bethpage, New York operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1417736109 assigned on September 2023. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Jonathan F Nasser Md (Ceo)
- NPI
- 1417736109
- Provider Name
- OPTUM MEDICAL CARE, P.C.
- Entity Type
- Organization
- Location Address
- 4045 HEMPSTEAD TPKE STE 202 BETHPAGE, NY 11714
- Location Phone
- (516) 396-1027
- Location Fax
- (516) 396-1019
- Mailing Address
- 110 S BEDFORD RD MOUNT KISCO, NY 10549
- Mailing Phone
- (914) 241-1050
- Mailing Fax
- (516) 396-1019
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-22-2023
- Last Update Date
- 03-18-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2169750
- Facility Type
- Physician Office
- Certificate Effective Date
- July 30, 2024
- Certificate Expiration Date
- July 29, 2026
- Laboratory Director
- DR. SEMYON GURGOV
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optum Medical Care, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417736109, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417736109, enumerated as an "organization" on September 22, 2023.
The provider is located at 4045 HEMPSTEAD TPKE STE 202 BETHPAGE, NY 11714 and the phone number is (516) 396-1027.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
