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RIVERSIDE MEDICAL GROUP
NPI 1902379977
Durable Medical Equipment & Medical Supplies in Maywood, NJ

Active since January 02, 2019CLIA 31D2040314 · Waiver
1 MAYWOOD AVE, MAYWOOD, NJ 07607(201) 464-4772 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, Jan 2, 2019 (2 updates tracked since 2019).

About Riverside Medical Group NPPES

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

RIVERSIDE MEDICAL GROUP (NPI 1902379977) is a healthcare organization registered as a durable medical equipment & medical supplies in Maywood, New Jersey and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Gaurang Ravaji Brahmbhatt, Cmo, as its authorized official.

NPPES Registry Identity

NPI1902379977
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM MEDICAL CARE OF NEW JERSEY PC
Location Address1 MAYWOOD AVEMaywood, NJ 07607-1001
Mailing Address1 Harmon Plz Fl 10Secaucus, NJ 07094-2803
Phone(201) 464-4772
Organization SubpartNo
Authorized OfficialGaurang Ravaji BrahmbhattCmo · (201) 706-8490
Enumeration DateJanuary 2, 2019
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1902379977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1 MAYWOOD AVE, Maywood, NJ 07607
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Other Names 1

Doing Business AsRiverside Medical Group

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 31D2040314

Optum Medical Care Of Nj PC · Maywood, NJ
Active · expires Apr 26, 2028
CLIA Number31D2040314
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorYaira M. Valdivieso
Laboratory Phone(201) 342-8130
Laboratory LocationOptum Medical Care Of Nj PC1 Maywood Avenue, Maywood, NJ 07607
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NIREN JASUTKAR M.D.
Internal Medicine (Gastroenterology)
1 MAYWOOD AVE
MAYWOOD, NJ 07607
Bergen County (551) 257-7005
DR. BASEL BAGHAL D.O.
Internal Medicine
1 MAYWOOD AVE
MAYWOOD, NJ 07607
Bergen County (201) 464-4755
MANDAKINI DANTULURI
Pharmacist
1 MAYWOOD AVE
MAYWOOD, NJ 07607
Bergen County (201) 845-3287

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 Of New Jersey PC's NPI number?

The NPI number for Optum Medical Care Of New Jersey PC is 1902379977. It was assigned to this organization in the NPPES registry on January 2, 2019. The provider is doing business as Riverside Medical Group.

Where is Optum Medical Care Of New Jersey PC located?

Optum Medical Care Of New Jersey PC is located at 1 Maywood Ave, Maywood, NJ 07607. The listed phone number is (201) 464-4772.

What is Optum Medical Care Of New Jersey PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Optum Medical Care Of New Jersey PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2040314) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optum Medical Care Of New Jersey PC was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.