1. Home
  2. Directory
  3. New York
  4. Bethpage
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OPTUM MEDICAL CARE, P.C.
NPI 1417736109
Durable Medical Equipment & Medical Supplies in Bethpage, NY

Active since September 22, 2023CLIA Certified · 3 labs
4045 HEMPSTEAD TPKE, BETHPAGE, NY 11714(516) 396-1027(516) 396-1019 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, Mar 18, 2026 (2 updates tracked since 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 1417736109) is a healthcare organization registered as a durable medical equipment & medical supplies in Bethpage, New York and active in the NPI registry since September 2023. The organization holds 3 active CLIA laboratory certificates and lists Jonathan F Nasser, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417736109
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM MEDICAL CARE, P.C.
Location Address4045 HEMPSTEAD TPKEBethpage, NY 11714-5611
Mailing AddressPo Box 95000Philadelphia, PA 19195-0001 · (914) 241-1050
Phone(516) 396-1027
Fax(516) 396-1019
Organization SubpartYes
Authorized OfficialJonathan F NasserCeo · (845) 703-6999
Enumeration DateSeptember 22, 2023
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1417736109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPodiatristTaxonomy 213E00000X
4045 HEMPSTEAD TPKE, Bethpage, NY 11714
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

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 33D2199230

Optum Medical Care PC · Bethpage, NY
Active · expires Nov 5, 2026
CLIA Number33D2199230
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorDr. Lisa K. Buglino
Laboratory Phone(516) 731-5740
Laboratory LocationOptum Medical Care PC4045 Hempstead Tpke, Suite 202D 2nd Floor, Bethpage, NY 11714
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2042062

Optum Medical Care PC · Bethpage, NY
Active · expires Jun 4, 2028
CLIA Number33D2042062
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorDr. Michael Golia
Laboratory Phone(516) 796-4340
Laboratory LocationOptum Medical Care PC4277 Hempstead Turnpike, Suite 200, Bethpage, NY 11714
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2138398

Optum Medical Care PC · Bethpage, NY
Active · expires Oct 16, 2027
CLIA Number33D2138398
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Peter D. Buffa
Laboratory Phone(516) 731-7770
Laboratory LocationOptum Medical Care PC4045 Hempstead Turnpike, 3rd Floor, Bethpage, NY 11714
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2169750

Optum Medical Care PC · Bethpage, NY
Expired · Jul 29, 2026
CLIA Number33D2169750
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorDr. Semyon Gurgov
Laboratory Phone(516) 396-1030
Laboratory LocationOptum Medical Care PC4045 Hempstead Turnpike, Suite 202 B, Bethpage, NY 11714
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 8

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

KOMAL DOLD
Nurse Practitioner (Family)
4045 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 731-7770
DR. CHARLENE GRACE FOSTER M.D
Family Medicine
4045 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 731-7770
DR. BRADLEY SCOTT MECHAK DPM
Podiatrist
4045 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 731-7770
PROHEALTH CARE ASSOCIATES, LLP
Clinical Medical Laboratory
4045 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 731-7770
DR. JOSHUA JAMES FEINER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4045 HEMPSTEAD TPKE, THIRD FLOOR
BETHPAGE, NY 11714
Nassau County (516) 731-7770
NIKITA BALA
Nurse Practitioner (Adult Health)
4045 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Nassau County (516) 731-7777
DR. BRIAN MICHAEL PULTZ M.D.
Internal Medicine
4045 HEMPSTEAD TPKE, 3RD FLOOR
BETHPAGE, NY 11714
Nassau County (516) 731-7770
JASON FISHBEIN M.D.
Internal Medicine
4045 HEMPSTEAD TPKE, 3RD FLOOR
BETHPAGE, NY 11714
Nassau County (516) 731-7770

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 1417736109. 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 4045 Hempstead Tpke, Bethpage, NY 11714. The listed phone number is (516) 396-1027.

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. 3 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 July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.