OPTIMUM FAMILY MEDICINE P.C
NPI 1609952043
Clinic/Center in Bronx, NY

Active since October 27, 2006CLIA 33D1057473 · Waiver
675 NEREID AVE, BRONX, NY 10470(347) 202-9545(347) 202-9580 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optimum Family Medicine P.c NPPES

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

OPTIMUM FAMILY MEDICINE P.C (NPI 1609952043) is a healthcare organization registered as a clinic/center in Bronx, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 13, 2026 and lists Olufunmilayo O Adeyanju, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1609952043
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOPTIMUM FAMILY MEDICINE P.C
Location Address675 NEREID AVEBronx, NY 10470-1514
Mailing Address675 Nereid AveBronx, NY 10470-1514 · (347) 202-9545 · Fax (347) 202-9580
Fax(347) 202-9580
Organization SubpartNo
Authorized OfficialOlufunmilayo O AdeyanjuMedical Director · (347) 202-9545
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1609952043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in NY · 236764
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

675 NEREID AVE, Bronx, NY 10470

Other Identifiers 1

Medicaid02797726NY

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 33D1057473

Optimum Family Medicine PC · Bronx, NY
Active · expires Aug 13, 2026
CLIA Number33D1057473
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorOlufunmilayo O. Adeyanju
Laboratory Phone(646) 441-1399
Laboratory LocationOptimum Family Medicine PC675 Nereid Avenue, Bronx, NY 10470
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
675 NEREID AVE, OPTIMUM FAMILY MEDICINE PC
BRONX, NY 10470

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 Family Medicine P.C's NPI number?

The NPI number for Optimum Family Medicine P.C is 1609952043. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Optimum Family Medicine P.C located?

Optimum Family Medicine P.C is located at 675 Nereid Ave, Bronx, NY 10470. The listed phone number is (347) 202-9545.

What is Optimum Family Medicine P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Optimum Family Medicine P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1057473) is associated with this NPI, valid through August 13, 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 Family Medicine P.C was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.