Randolph Owen Marcus, LCSW, DSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RO18264-1 Issued in NY

Practice address

749 Durham Rd
East Meadow, NY 11554-4604

Phone

(516) 292-0976

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053475293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 DURHAM RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544604",
            "telephone_number": "516-292-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 DURHAM RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544604",
            "telephone_number": "516-292-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "RANDOLPH",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "RO18264-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ieshah Mapp, LMFT
• Victoria Marangiello, M.S. ED.
• Kimberly Marano
• Lauren Marciante, MSED
• Susan M. Marcin, RN
• Robert Marder, MS, PT
• Mark Dworkin LCSW PC
• Mark Goldberg Prosthetic & Orthotic Labs, Inc.
• Cassandra Markham
• Leslie Steven Markowitz, DDS

• Mental Health Counselor in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.