DR. TROY L RANDLE (NPI# 1710187513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710187513 |
Entity Type | Individual |
Full Name | DR. TROY L RANDLE |
Credential | DO |
Practice Address |
1 Brace Rd Ste C Cherry Hill NJ 08034-2600 |
Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
Practice Telephone | 8564284100 |
Practice Fax Number | 8564285748 |
Mailing Telephone | 8563550340 |
Mailing Fax Number | 8563550330 |
Enumeration Date | 2007-07-19 |
Last Update Date | 2020-10-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MB08073900 | NJ | Allopathic & Osteopathic Physicians |
Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
25MB08073900 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
1 BRACE RD STE C |
City | CHERRY HILL |
State | NJ |
Zip Code | 08034-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730171505 | Jay L Rubenstone | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2005-08-18 |
1497013619 | Vasu Motu Palli | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2012-04-25 |
1225303217 | Jennifer Pietranik | Nurse Practitioner | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2012-03-09 |
1578724324 | Jason Anthony Smith | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2008-06-24 |
1467626465 | Deborah Ann Pezzella | Registered Nurse | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2008-04-22 |
1982813887 | Heath Elliot Saltzman | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2007-05-21 |
1588704704 | Amy E Lombardo | Nurse Practitioner | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2007-02-07 |
1255420899 | Thierry Momplaisir | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2006-10-12 |
1659382604 | Ibrahim Moussa | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2006-08-11 |
1992739668 | Anthony G Smeglin | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2006-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
Find all providers in zip 08034 |
Taxonomy Code | 207UN0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Nuclear Medicine |
Specialization | Nuclear Cardiology |
A nuclear medicine physician who specializes in nuclear cardiology. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760419659 | Terry D Friedman | Nuclear Medicine | 1400 Route 70 E, Cherry Hill, NJ 08034-2230 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427064203 | Amarnath Avancha Pa | Nuclear Medicine | 124 Gregory Ave., Unit 102, Passaic, NJ 07055-4856 | 2006-07-31 |
1003892779 | Moein Faghih Vaseghi | Nuclear Medicine | 282 South Ave Ste 102, Fanwood, NJ 07023-1346 | 2005-12-15 |
1922638097 | Icahn School of Medicine At Mount Sinai | Nuclear Medicine | 103 River Rd Fl 2, Edgewater, NJ 07020-1016 | 2020-01-17 |
1841589298 | Sovereign Medical Group LLC | Nuclear Medicine | 630 Broad St, Carlstadt, NJ 07072-1169 | 2011-04-06 |
1841528080 | Astra Md P C | Nuclear Medicine | 550 Bloomfield Ave, Newark, NJ 07107-1386 | 2009-11-30 |
1386821395 | Diagnostic Imaging of Bergen, LLC | Nuclear Medicine | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2008-01-22 |
1295918068 | You G Ding | Nuclear Medicine | 44 Sylvan Ave, Ste 1e, Englewood Cliffs, NJ 07632-2426 | 2007-12-14 |
1669693875 | Kristopher F Young | Nuclear Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2007-05-02 |
1699805978 | Holy Name Hospital Ekg Interpretation Group | Nuclear Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2007-03-06 |
1730293200 | Cardiac Nuclear Diagnostic Center of Ocean County | Nuclear Medicine | 81 Route 37 W, Toms River, NJ 08755-6405 | 2006-08-19 |
Find all providers with the same taxonomy |
City | CHERRY HILL |
Zip Code | 08034 |
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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.