DR. JOHN RANDAZZO JR. (NPI# 1962922047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962922047 |
| Entity Type | Individual |
| Full Name | DR. JOHN RANDAZZO JR. |
| Credential | DPM |
| Practice Address |
285 Sills Rd Ste D East Patchogue NY 11772-4869 |
| Practice Telephone | 6316545566 |
| Mailing Telephone | 6316044948 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N007109 | NY | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295178846 | John Louis Randazzo | Orthopaedic Surgery | 4440 Beacon Cir, Suite 100, West Palm Beach, FL 33407-3243 | 2013-04-14 |
| Street Address |
285 SILLS RD STE D |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134373467 | Edward C Kormylo | Podiatrist | 285 Sills Rd, Bldg. 15 Suite D, East Patchogue, NY 11772-4869 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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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.