OPTIMUM PRIMARY CARE MEDICAL PC (NPI# 1043563554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043563554 |
| Entity Type | Organization |
| Organization Name | OPTIMUM PRIMARY CARE MEDICAL PC |
| Practice Address |
311 St. Nicholas Avenue Ridgewood NY 11385 |
| Mailing Address |
52 Woodhollow Rd Roslyn Heights NY 11577-2217 |
| Practice Telephone | 7187665150 |
| Mailing Telephone | 5163614600 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | DR. MOHAMMAD ASLAM (M,D,) |
| Authorized Official Telephone | 5163614600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
311 ST. NICHOLAS AVENUE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457882516 | Mohamed Swalih | Internal Medicine | 877 Woodward Ave, Ridgewood, NY 11385-4416 | 2017-03-21 |
| 1801229604 | Shardul Gadhia | Internal Medicine | 5946 Woodbine St, Apt 2f, Ridgewood, NY 11385-3237 | 2013-08-15 |
| 1396982708 | Healing Touch Medical PC | Internal Medicine | 100 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2009-01-08 |
| 1548424187 | Ya-hsiu Yen | Internal Medicine | 1706 Willoughby Ave, Ridgewood, Ridgewood, NY 11385-1148 | 2008-07-14 |
| 1912052994 | Vito Frank Taverna | Internal Medicine | 6062 Palmetto St, Ridgewood, NY 11385-3241 | 2007-01-23 |
| 1376619353 | Amita Kalia-sharma | Internal Medicine | 1124 E Ridgewood Ave Ste 103, Ridgewood, NJ 07450-3915 | 2006-11-28 |
| 1003911645 | Kalpesh S Amin | Internal Medicine | 6911 Forest Ave, Ridgewood, NY 11385-4457 | 2006-09-14 |
| 1447363254 | Elaine Marie Holt | Internal Medicine | 352 Godwin Ave, Ridgewood, NJ 07450 | 2006-08-16 |
| 1164480570 | Pradeep Sharma | Internal Medicine | 790 Seneca Ave, Ridgewood, NY 11385-4123 | 2006-05-03 |
| 1871557025 | Francis Eugene Mcgorty | Internal Medicine | 190 Dayton St, Ridgewood, NJ 07450-4408 | 2006-04-14 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.