Provider Demographics
NPI:1336206002
Name:OPTUM OF NEW YORK, INC.
Entity type:Organization
Organization Name:OPTUM OF NEW YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGGINS-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-767-4824
Mailing Address - Street 1:2100 RIVEREDGE PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4693
Mailing Address - Country:US
Mailing Address - Phone:770-767-4500
Mailing Address - Fax:678-355-4092
Practice Address - Street 1:600 OLD COUNTRY RD RM 237
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2031
Practice Address - Country:US
Practice Address - Phone:800-999-0225
Practice Address - Fax:678-260-2793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCV274OtherBC BS EMPIRE