Provider Demographics
NPI:1659246130
Name:OPTIMAL SUPPORT SERVICES
Entity type:Organization
Organization Name:OPTIMAL SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASMIEL
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-749-2796
Mailing Address - Street 1:71 MALCOLM AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1523
Mailing Address - Country:US
Mailing Address - Phone:201-749-2796
Mailing Address - Fax:
Practice Address - Street 1:71 MALCOLM AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1523
Practice Address - Country:US
Practice Address - Phone:201-749-2796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services