OPTUM MEDICAL CARE OF NEW JERSEY PC
NPI 1508606237
Durable Medical Equipment & Medical Supplies in Maplewood, NJ

NPI Status: Active since May 30, 2024

Contact Information

264 BOYDEN AVE
MAPLEWOOD, NJ
ZIP 07040
Phone: (973) 761-5200
Fax: (973) 761-7617

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 31D0866546
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-22-2027

About OPTUM MEDICAL CARE OF NEW JERSEY PC

This page provides the complete NPI Profile along with additional information for Optum Medical Care Of New Jersey Pc, a provider established in Maplewood, New Jersey operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1508606237 assigned on May 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Gaurang Ravaji Brahmbhatt Md (Credentialing Supervisor)

NPI
1508606237
Provider Name
OPTUM MEDICAL CARE OF NEW JERSEY PC
Entity Type
Organization
Location Address
264 BOYDEN AVE MAPLEWOOD, NJ 07040
Location Phone
(973) 761-5200
Location Fax
(973) 761-7617
Mailing Address
1 HARMON PLZ FL 10 SECAUCUS, NJ 07094
Mailing Phone
(551) 220-4832
Mailing Fax
(973) 761-7617
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-30-2024
Last Update Date
05-30-2024
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GAURANG RAVAJI BRAHMBHATT MD

Authorized Official Title
CREDENTIALING SUPERVISOR
Authorized Official Phone
(201) 706-8490

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
31D0866546
Facility Type
Physician Office
Certificate Effective Date
October 23, 2025
Certificate Expiration Date
October 22, 2027
Laboratory Director
NADER MOAVEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Optum Medical Care Of New Jersey Pc 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 1508606237, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 6 → 12 → 3 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 2 + 0 + 1 + 2 + 2 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508606237.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
264 BOYDEN AVE, EMPIRE MEDICAL GROUP
MAPLEWOOD, NJ 07040
Internal Medicine (Cardiovascular Disease)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Dentist (General Practice)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Dentist (General Practice)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Family Medicine
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Physician Assistant (Medical)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Clinic/Center (Urgent Care)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Internal Medicine (Infectious Disease)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Nurse Practitioner (Family)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Internal Medicine (Infectious Disease)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Physician Assistant
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Physician Assistant
264 BOYDEN AVE
MAPLEWOOD, NJ 07040
Family Medicine (Adult Medicine)
264 BOYDEN AVE
MAPLEWOOD, NJ 07040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508606237, enumerated as an "organization" on May 30, 2024.

The provider is located at 264 BOYDEN AVE MAPLEWOOD, NJ 07040 and the phone number is (973) 761-5200.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.