Riverside Pediatric Group

LBN: Optum Medical Care Of New Jersey Pc
Riverside Pediatric Group is an health care organization with primary practice located at 1 Harmon Plz Fl 10 , Secaucus NJ 07094-2803. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Optum Medical Care Of New Jersey Pc can be contacted via phone (201) 636-7233, or through Brahmbhatt, Gaurang via phone (201) 636-7233.

Contact Information

Primary practice address
1 Harmon Plz Fl 10 Secaucus NJ 07094-2803
Phone: (201) 636-7233
Fax: (201) 552-2358
Website:
Map and Directions
Authorized official contact:
Name: Brahmbhatt, Gaurang Doctor of Medicine (MD)
Phone: (201) 636-7233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08407900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03363500 New Jersey
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X New Jersey

Profile Details

NPI number 1578665048
LBN Legal business name Optum Medical Care Of New Jersey Pc
DBA Doing business as Riverside Pediatric Group
Authorized official Brahmbhatt, Gaurang Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2006
Last updated Sep 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578665048 NPPES
New Jersey MEDICAID 9088008

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