Optum Infusion Services 100, Inc. in Farmingdale - Parenteral & Enteral Nutrition
Optum Infusion Services 100, Inc. - NPI 1043275969
Optum Infusion Services 100, Inc. is a Parenteral & Enteral Nutrition in Farmingdale, New York. Optum Infusion Services 100, Inc. practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Optum Infusion Services 100, Inc. is 1043275969. The last update date is 2021-09-22.
Optum Infusion Services 100, Inc.'s current location address is 931 D Conklin Street, Farmingdale, New York. You can contact this provider via phone number 8003466348 and fax number 8666893569. The mailing address for Optum Infusion Services 100, Inc. is 931 D Conklin Street, Farmingdale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Optum Infusion Services 100, Inc. |
|---|---|
| Address | 931 D Conklin Street, Farmingdale, New York |
| Phone Number | 8003466348 |
| Fax Number | 8666893569 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP, COMPLI |
|---|---|
| Authorized Official Name | Oberg David |
| Telephone Number | 4999885893 |
NPI Number Detail
| NPI Number | 1043275969 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2021-09-22 |
Provider Mailing Address Detail
| Address | 931 D Conklin Street |
|---|---|
| City | Farmingdale |
| State | New York (NY) |
| Post Code | 11735 |
| Phone Number | 8003466348 |
| Fax Number | 8666893569 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | 20477 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85329 | NY | MVP | |
| ANC1772 | NY | OXFORD | |
| 9296L001 | NY | HOME CARE SERVICE AGENCY LICEN | |
| 58658 | NY | VYTRA | |
| B6A532 | NY | EMPIRE BC/BS | |
| 114382 | NY | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Optum Infusion Services 100, Inc. by the Centers for Medicare & Medicaid Services?
The Optum Infusion Services 100, Inc. has been assigned the NPI (National Provider Identifier) 1043275969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Optum Infusion Services 100, Inc. is located?
The Optum Infusion Services 100, Inc. is situated at the following address: 931 D Conklin Street, Farmingdale, NY, 11735.
What is Optum Infusion Services 100, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Optum Infusion Services 100, Inc. is Parenteral & Enteral Nutrition, and the taxonomy code that classifies this field of practice is 332Bp3500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043275969 to Optum Infusion Services 100, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1043275969 to Optum Infusion Services 100, Inc. on 2006-04-20.
As of what date was the information regarding Optum Infusion Services 100, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Optum Infusion Services 100, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-22.
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