Randa Nassar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

026825 Issued in NY

Practice address

440 Mamaroneck Ave Ste 505
Harrison, NY 10528-2432

Phone

(440) 462-1400

NPI assigned

Nov 17, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1295491926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE STE 505",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282433",
            "telephone_number": "646-240-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE STE 505",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282432",
            "telephone_number": "440-462-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "RANDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "026825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia E Murdock, CARE COORDINATOR
• Jennifer Murillo, NP
• Derick Murray
• Maria Muste, MD
• Kevin Nafash, ATC, CSCS
• Donald Fredericks Nathanson, LCSW
• Georgeann Naughton, LCSW-R, CASAC
• Rosanna Navarra
• Sainabou Ndow, RN
• Mary Elizabeth Neckles, LMSW

• Medical Physician Assistant in Harrison, NY
• Providers in Harrison, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.