Organization
OPTUM MEDICAL CARE, P.C.
Active
Other names
CareMount Medical, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NASSER MD (PRESIDENT OPTUM TRI STATE)
(914) 242-2940
Entity
Organization
Contact information
Practice address
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
PO BOX 95000-8363, PHILADELPHIA, PA 19195-0001
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
231H00000X
Audiologist
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547351
—
NY
01
—
CA0060
MEDICARE RAILROAD
NY
Enumeration date
06/05/2006
Last updated
08/26/2024
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