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OPTUM MEDICAL CARE OF NEW JERSEY PC
NPI 1902646623
Durable Medical Equipment & Medical Supplies in Springfield, NJ

Active since May 30, 2024CLIA 31D0968456 · Waiver
55 MORRIS AVE, SPRINGFIELD, NJ 07081(908) 687-7250(973) 736-8355 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optum Medical Care Of New Jersey Pc NPPES

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

OPTUM MEDICAL CARE OF NEW JERSEY PC (NPI 1902646623), doing business as Riverside Medical Group, is a healthcare organization registered as a durable medical equipment & medical supplies in Springfield, New Jersey and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Gaurang Ravaji Brahmbhatt, Cmo, as its authorized official.

NPPES Registry Identity

NPI1902646623
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM MEDICAL CARE OF NEW JERSEY PC
Location Address55 MORRIS AVESpringfield, NJ 07081-1426
Mailing Address1 Harmon Plz Fl 10Secaucus, NJ 07094-2803 · (551) 257-7030 · Fax (551) 257-7255
Phone(908) 687-7250
Fax(973) 736-8355
Organization SubpartYes
Authorized OfficialGaurang Ravaji BrahmbhattCmo · (201) 706-8490
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1902646623 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.
55 MORRIS AVE, Springfield, NJ 07081
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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 31D0968456

Optum Medical Care Of Nj PC · Springfield, NJ
Active · expires Sep 18, 2026
CLIA Number31D0968456
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorUthra Kodiyalam MD
Laboratory Phone(973) 761-0764
Laboratory LocationOptum Medical Care Of Nj PC55 Morris Avenue Suite 206, Springfield, NJ 07081
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 13

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

DIANE CHAZEN, LLC
Internal Medicine
55 MORRIS AVE, SUITE 216
SPRINGFIELD, NJ 07081
Union County (973) 379-8900
DR. DANIEL JOSEPH PRESTON M.D.
Internal Medicine
55 MORRIS AVE, SUITE 300
SPRINGFIELD, NJ 07081
Union County (973) 467-5555
JJ HOMECARE LLC
Home Health
55 MORRIS AVE, SUITE 106
SPRINGFIELD, NJ 07081
Union County (973) 932-4556
MARJAN TABARESTANI PA
Physician Assistant
55 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 759-1221
DR. DIANE ROBIN CHAZEN M.D.
Internal Medicine
55 MORRIS AVE, SUITE 216
SPRINGFIELD, NJ 07081
Union County (973) 379-8900
DR. MALCOLM GUY COBLENTZ M.D.
Surgery
55 MORRIS AVE, SUITE 304
SPRINGFIELD, NJ 07081
Union County (973) 486-0108
JUNIOR ESPINAL
Nurse Practitioner
55 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (973) 759-1221
MARK LICHTENBERG, MD
Dermatology (Clinical & Laboratory Dermatological Immunology)
55 MORRIS AVE
SPRINGFIELD, NJ 07081
Union County (201) 926-6151

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 1902646623. It was assigned to this organization in the NPPES registry on May 30, 2024. 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 55 Morris Ave, Springfield, NJ 07081. The listed phone number is (908) 687-7250.

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 31D0968456) is associated with this NPI, valid through September 18, 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 Optum Medical Care Of New Jersey PC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.