Individual provider Active NPI

Randall Warren Volk, M.D.

  • Plastic Surgery Physician
  • Northfield, NJ
National Provider Identifier
1194764050
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA05428200 Issued in NJ
Practice address
1555 Zion Rd
Suite 103
Northfield, NJ 08225-1860
Phone
(609) 272-0365
Fax
(609) 272-0542
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA05428200 NJ Primary

Addresses

Primary practice location

1555 Zion Rd
Suite 103
Northfield, NJ 08225-1860

Mailing address

1555 Zion Rd
Suite 103
Northfield, NJ 08225-1860
Phone (609) 272-0365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trocki Surgi-Center PA Plastic Surgery Past Accepting new patients
Hospital Group of South Jersey, PC Past Accepting new patients
Volk Center for Cosmetic & Plastic Surgery LLC Plastic Surgery PastSince Sep 21, 2004 Accepting new patients
Ira M. Trocki, MD, PA Plastic Surgery Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1194764050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 ZION RD",
            "address_2": "SUITE 103",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251860",
            "telephone_number": "609-272-0365",
            "fax_number": "609-272-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 ZION RD",
            "address_2": "SUITE 103",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251860",
            "telephone_number": "609-272-0365",
            "fax_number": "609-272-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLK",
        "first_name": "RANDALL",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05428200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.