Organization Active NPI

James a Rand MD LLC

  • Gastroenterology Physician
  • Bayside, NY
National Provider Identifier
1053520528
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
135615 Issued in NY
Legal business name
JAMES A RAND MD LLC
Practice address
20012 44TH Ave
3Rd Floor
Bayside, NY 11361-2510
Phone
(718) 224-7454
Fax
(718) 225-8430
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
James A Rand, M.D.NPI 1912988254
Title
Physician
Phone
(718) 224-7454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 135615 NY Primary

Addresses

Primary practice location

20012 44TH Ave
3Rd Floor
Bayside, NY 11361-2510

Mailing address

20012 44TH Ave
3Rd Floor
Bayside, NY 11361-2510
Phone (718) 224-7454

Other identifiers 2

IdentifierTypeStateIssuer
100008327OtherNYMC RR
01094788MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000260 NY Part B Supplier - Clinic/Group Practice 7618036112 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY; Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

20012 44th Ave
Ste 3
Bayside, NY 11361
Phone (718) 224-7454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1053520528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20012 44TH AVE",
            "address_2": "3RD FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-224-7454",
            "fax_number": "718-225-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20012 44TH AVE",
            "address_2": "3RD FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-224-7454",
            "fax_number": "718-225-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A RAND MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-224-7454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "135615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR",
            "identifier": "100008327",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01094788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.