Active NPI
Judith G Randolph, MSN ARNP RN BC
- Gastroenterology Physician
- Egg Harbor Township, NJ
National Provider Identifier
1194921098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 26NN06349500
- Practice address
- 3205 Fire Road
Suite 4
Egg Harbor Township, NJ 08234-5857 - Phone
- (609) 407-1220
- Fax
- (609) 407-7149
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 26NN06349500 | NJ | Primary |
Addresses
Primary practice location
3205 Fire Road
Suite 4
Egg Harbor Township, NJ 08234-5857
Mailing address
17 E Rosedale Ave
Northfield, NJ 08225
Phone (609) 645-2713
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
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN06349500 | NJ | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194921098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 E ROSEDALE AVE",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "08225",
"telephone_number": "609-645-2713",
"fax_number": "609-407-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 FIRE ROAD",
"address_2": "SUITE 4",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345857",
"telephone_number": "609-407-1220",
"fax_number": "609-407-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "JUDITH",
"middle_name": "G",
"credential": "MSN ARNP RN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "26NN06349500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Egg Harbor Township, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.