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

NPI Status: Active since October 27, 2006

Contact Information

675 NEREID AVE
BRONX, NY
ZIP 10470
Phone: (347) 202-9545
Fax: (347) 202-9580

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  • Organization
  • Clinic/Center
  • CLIA Number: 33D1057473
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-13-2026

About OPTIMUM FAMILY MEDICINE P.C

This page provides the complete NPI Profile along with additional information for Optimum Family Medicine P.c, a provider established in Bronx, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1609952043 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 236764 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Olufunmilayo O Adeyanju M.d (Medical Director)

NPI
1609952043
Provider Name
OPTIMUM FAMILY MEDICINE P.C
Entity Type
Organization
Location Address
675 NEREID AVE BRONX, NY 10470
Location Phone
(347) 202-9545
Location Fax
(347) 202-9580
Mailing Address
675 NEREID AVE BRONX, NY 10470
Mailing Phone
(347) 202-9545
Mailing Fax
(347) 202-9580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2006
Last Update Date
08-22-2020
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
236764
License State
NY
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. OLUFUNMILAYO O ADEYANJU M.D

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(347) 202-9545

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02797726MEDICAID (05)NY 

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
33D1057473
Facility Type
Physician Office
Certificate Effective Date
August 14, 2024
Certificate Expiration Date
August 13, 2026
Laboratory Director
OLUFUNMILAYO O. ADEYANJU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Optimum Family Medicine 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 1609952043, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 9 → 18 → 9 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 8 + 5 + 4 + 0 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1609952043.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609952043, enumerated as an "organization" on October 27, 2006.

The provider is located at 675 NEREID AVE BRONX, NY 10470 and the phone number is (347) 202-9545.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.