SALUD OPTIMA DIRECT, PLLC (NPI# 1588071492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588071492 |
| Entity Type | Organization |
| Organization Name | SALUD OPTIMA DIRECT, PLLC |
| Other Organization Name | OPTIMAL HEALTH DIRECT |
| Practice Address |
152 Garrett Rd Upper Darby PA 19082-3113 |
| Practice Telephone | 4844019012 |
| Practice Fax Number | 4844019012 |
| Mailing Telephone | 4844019012 |
| Mailing Fax Number | 4844019012 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | MR. MARCUS REY WILLIAMS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6104251165 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
428872 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optimal Health Direct | Other Name - Individual/Organization |
| Street Address |
152 GARRETT RD |
| City | UPPER DARBY |
| State | PA |
| Zip Code | 19082-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386865392 | Thomas Michael Broomall | Chiropractor | 152 Garrett Rd, Upper Darby, PA 19082 | 2007-05-01 |
| 1982027629 | New Path Md Inc | Internal Medicine | 152 Garrett Rd, Upper Darby, PA 19082-3113 | 2014-01-31 |
| 1053688481 | Nursepride Care Partners, LLC | Home Health | 152 Garrett Rd, Upper Darby, PA 19082-3113 | 2011-11-30 |
| 1043431703 | Robert Joseph Cavoto Jr. | Chiropractor | 152 Garrett Rd, Upper Darby, PA 19082 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971364 | Kpmc Group Inc | In Home Supportive Care | 223 South 69th St, Upper Darby, PA 19082 | 2020-10-30 |
| 1881237311 | Upper Darby Community Pharmacy | Pharmacy | 57-59 Long Lane, Upper Darby, PA 19082 | 2019-10-28 |
| 1184106114 | Taking Time To Care | Home Health | 202 Long Lane Lane Fl 1, Upper Darby, PA 19082 | 2018-09-06 |
| 1033600689 | Pillar of Hope Family Home Care Services Corporation | In Home Supportive Care | 7122 Clover Ln, Upper Darby, PA 19082 | 2018-05-18 |
| 1982125613 | Jasmin Rolling | Counselor | 11 N Pennock Avenue, Upper Darby, PA 19082 | 2017-07-03 |
| 1508395930 | Edward Nylander | Behavioral Analyst | 119 Normandy Road, Upper Darby, PA 19082 | 2017-06-08 |
| 1861866063 | Kyera Swint | Counselor | 6930-34 Market Street, Upper Darby, PA 19082 | 2015-11-25 |
| 1720469505 | Monique Scott I | Psychologist | 250 Beverly Blvd Apt B201, Upper Darby, PA 19082 | 2015-06-17 |
| 1093100141 | Ellie Z. Zheng | General Practice | 6787 Market St, Upper Darby, PA 19082 | 2015-04-04 |
| 1134527666 | Noble Medical Care | Internal Medicine | 6760 Market Street, 1st Floor, Upper Darby, PA 19082 | 2014-12-16 |
| Find all providers in zip 19082 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518241835 | Healthy Family Practice Pllc | Clinic/Center | 8234 W Chester Pike, Upper Darby, PA 19082-2723 | 2011-10-05 |
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| 1164035267 | Vision On The Move | Clinic/Center | 1015 Toll St, Eddystone, PA 19022-1451 | 2020-08-28 |
| 1245859388 | Accommodating Healthcare Solutions, PC | Clinic/Center | 1744 Bridgetown Pike, Feasterville Trevose, PA 19053-2362 | 2020-04-09 |
| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
| 1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
| 1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
| 1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | UPPER DARBY |
| Zip Code | 19082 |
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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.