NPIMap

Individual provider Active NPI

Jean Patricia Randazzo, MD

  • Internal Medicine Physician
  • Morristown, NJ
National Provider Identifier
1033215892
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA56799 Issued in NJ
Practice address
95 Madison Avenue
Suite A00 Internal Medicine of Morristown
Morristown, NJ 07960
Phone
(973) 538-1388
Fax
(973) 538-9501
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA56799 NJ Primary

Addresses

Primary practice location

95 Madison Avenue
Suite A00 Internal Medicine of Morristown
Morristown, NJ 07960

Mailing address

PO Box 95000 LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other identifiers 1

IdentifierTypeStateIssuer
6348009MedicaidNJ

Other names 1

  • Jean Patricia Rainville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000032 NJ Practitioner - Internal Medicine 7012931652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA56799NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
Primary Care Partners, LLC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince May 6, 2024 Accepting new patients
Primary Care Partners, LLC Internal Medicine Current Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Practice Associates,Inc Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

95 Madison Ave
Ste A00
Morristown, NJ 07960
Phone (973) 538-1388

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1033215892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVENUE",
            "address_2": "SUITE A00 INTERNAL MEDICINE OF MORRISTOWN",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-538-1388",
            "fax_number": "973-538-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "JEAN",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA56799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6348009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "RAINVILLE",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.