Riverside Medical Group

LBN: Optum Medical Care Of New Jersey Pc
Riverside Medical Group is an health care organization with primary practice located at 1 Maywood Ave , Maywood NJ 07607-1001. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Optum Medical Care Of New Jersey Pc can be contacted via phone (201) 464-4772, or through Brahmbhatt, Gaurang Ravaji via phone (201) 706-8490.

Contact Information

Primary practice address
1 Maywood Ave Maywood NJ 07607-1001
Fax:
Website:
Authorized official contact:
Name: Brahmbhatt, Gaurang Ravaji Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1902379977
LBN Legal business name Optum Medical Care Of New Jersey Pc
DBA Doing business as Riverside Medical Group
Authorized official Brahmbhatt, Gaurang Ravaji Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2019
Last updated Jun 2nd, 2023 - about last year

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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