DR. RANDY KEEGAN IDLER (NPI# 1174145353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174145353 |
| Entity Type | Individual |
| Full Name | DR. RANDY KEEGAN IDLER |
| Credential | MD |
| Practice Address |
65 James St Edison NJ 08820-3947 |
| Mailing Address |
8502 Fort Hamilton Pkwy Apt 3b Brooklyn NY 11209-4816 |
| Practice Telephone | 7323217493 |
| Mailing Telephone | 7756360076 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437214277 | Randy Ralph Idler | Anesthesiology | 235 West 6th Street, Saint Marys Regional Medical Center, Reno, NV 89503-4548 | 2006-12-22 |
| Street Address |
65 JAMES ST |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559763 | Divya Gupta | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2005-06-22 |
| 1073112199 | Katelynn Onulak | Registered Nurse | 65 James St, Edison, NJ 08820-3947 | 2020-10-20 |
| 1609481308 | Gladwin Kemunto Omare | Nurse Practitioner | 65 James St, Edison, NJ 08820-3947 | 2020-09-10 |
| 1457979619 | Marc Habib | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-07-13 |
| 1588281935 | Mary Christine Fahmy | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-07-01 |
| 1629693080 | Shivam Mukul Patel | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-06-11 |
| 1366065799 | Joshua Haimi | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-20 |
| 1598387177 | Pujitha Talasila | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-17 |
| 1639791635 | Alycia Chinai | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-12 |
| 1316569452 | Samuel Uzosike | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060800 | Niraj Gir | Student in an Organized Health Care Education/Training Program | 343 Thornall St, Edison, NJ 08837-2206 | 2020-03-30 |
| 1295213213 | Harmandeep Singh Dhillon | Student in an Organized Health Care Education/Training Program | 253c Lafayette Rd Apt 3d, Edison, NJ 08837-2413 | 2018-08-01 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1093205023 | Harshkumar Patel | Student in an Organized Health Care Education/Training Program | 75 Stephenville Pkwy, Edison, NJ 08820-2616 | 2018-05-15 |
| 1114453446 | Prerana Reddy | Student in an Organized Health Care Education/Training Program | 23 Sherman Blvd, Edison, NJ 08820-2317 | 2017-05-05 |
| 1720519051 | Bijal Parikh | Student in an Organized Health Care Education/Training Program | 15 Lily Rd, Edison, NJ 08820-1448 | 2017-03-27 |
| 1285188086 | David A Novello | Student in an Organized Health Care Education/Training Program | 13 Oliver Ave, Edison, NJ 08820-3123 | 2016-08-09 |
| 1548624075 | Neha Saggar | Student in an Organized Health Care Education/Training Program | 41 Sherman Blvd, Edison, NJ 08820-2300 | 2016-04-11 |
| 1700273117 | Matthew Frank | Student in an Organized Health Care Education/Training Program | 20 Harrison St, Edison, NJ 08817-2907 | 2015-04-23 |
| 1588055776 | David Lee | Student in an Organized Health Care Education/Training Program | 141 Linda Ln, Edison, NJ 08820-4510 | 2015-02-10 |
| Find all providers in EDISON | ||||
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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.