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PARK CITY PRIMARY CARE CENTER
NPI 1932479409
Clinic/Center - Federally Qualified Health Center (FQHC) in Bridgeport, CT

Active since December 30, 2011
64 BLACK ROCK AVE, BRIDGEPORT, CT 06605(203) 579-5000(203) 332-0376 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park City Primary Care Center NPPES

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

PARK CITY PRIMARY CARE CENTER (NPI 1932479409) is a healthcare organization registered as a federally qualified health center (fqhc) in Bridgeport, Connecticut and active in the NPI registry since December 2011. The organization lists Ludwig Spinelli, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1932479409
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPTIMUS HEALTH CARE INC
Location Address64 BLACK ROCK AVEBridgeport, CT 06605-1200
Mailing Address982 E Main StBridgeport, CT 06608-1913 · (203) 696-3260 · Fax (203) 332-0376
Phone(203) 579-5000
Fax(203) 332-0376
Organization SubpartNo
Authorized OfficialLudwig SpinelliChief Executive Officer · (203) 696-3260
Enumeration DateDecember 30, 2011
✔ NPI 1932479409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CT · 0388
64 BLACK ROCK AVE, Bridgeport, CT 06605
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Other Names 1

Doing Business AsPark City Primary Care Center

Other Identifiers 3

OtherC00383CT · Medicare Part B
Medicare OSCAR/certification071880CT
Medicaid004234788CT

Other Providers at the Same Location NPPES 19

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

MONIQUE MISRA MD
Internal Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000
MISS MISHELLE DIANE ANDERSEN
Physician Assistant
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 641-6110
ASWANI DARABOINA MD
Internal Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000
KEITRA THOMPSON CRNP
Nurse Practitioner (Family)
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000
MIRIAM FEINSTEIN PA-C
Physician Assistant
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000
DR. MONIKA KAUL MD
Family Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000
ANDREW HARDY CUSHING MD
Internal Medicine
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000
MRS. LISSETTE I CRUZ PA-C
Physician Assistant
64 BLACK ROCK AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 579-5000

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 Optimus Health Care Inc's NPI number?

The NPI number for Optimus Health Care Inc is 1932479409. It was assigned to this organization in the NPPES registry on December 30, 2011. The provider is doing business as Park City Primary Care Center.

Where is Optimus Health Care Inc located?

Optimus Health Care Inc is located at 64 Black Rock Ave, Bridgeport, CT 06605. The listed phone number is (203) 579-5000.

What is Optimus Health Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Optimus Health Care Inc was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.