Active NPI
Nik Jefferson Ooi, LLC
Doing business as Randolph Clinic LLC
- Clinic/Center
- Silver Spring, MD
National Provider Identifier
1215691266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NIK JEFFERSON OOI, LLC
- Doing business as
- Randolph Clinic LLC
- Practice address
- 3901 Randolph Rd
Silver Spring, MD 20902-1052 - Phone
- (301) 949-4994
- NPI assigned
- Oct 26, 2021
- Last updated
- Oct 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nik J Ooi, AGNP, PMHNP
- Title
- Nurse Practitioner
- Phone
- (434) 409-7543
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Adult Mental Health Clinic/Center | 261QM0850X | NU |
Addresses
Primary practice location
3901 Randolph Rd
Silver Spring, MD 20902-1052
Mailing address
3901 Randolph Rd
Silver Spring, MD 20902-1052
Other names 1
- Randolph Clinic LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1215691266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 RANDOLPH RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RANDOLPH RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021052",
"telephone_number": "301-949-4994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIK JEFFERSON OOI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "OOI",
"authorized_official_first_name": "NIK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "434-409-7543",
"authorized_official_credential": "AGNP, PMHNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Randolph Clinic LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.