Individual provider Active NPI

Lauren K Randolph, APRN

  • Family Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1376140905
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01076000 Issued in NJ
Practice address
94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668
Phone
(973) 902-2956
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01076000 NJ Primary
Registered Nurse 163W00000X 26NR15648200 NJ

Addresses

Primary practice location

94 Old Short Hills Rd Ste 1
Livingston, NJ 07039-5668

Mailing address

255 E Grand Ave Apt 109
Rahway, NJ 07065-4564
Phone (973) 902-2956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223001826 NJ Practitioner - Nurse Practitioner 8921413097 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians
Excel Urgent Care of NJ LLCGroup PAC ID 9638396849, 21 clinicians

Practice addresses (Care Compare)

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

2624 Hwy 516
Old Bridge, NJ 08857-2306
Phone (732) 952-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR15648200NJMDRegistered Nurse
26NJ01076000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Varun Bhatia Corp CurrentSince Feb 1, 2023 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Feb 15, 2021 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Nov 1, 2023 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Feb 15, 2021 Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Jul 11, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Varun Bhatia PLLC PastSince Jan 10, 2021 Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

740 Route 1 N
Ste 2
Iselin, NJ 08830
Phone (732) 874-5507

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.laurenrandolph@136290.advancedmd-direct.com

Organizations & group practices 7

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1376140905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E GRAND AVE APT 109",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654564",
            "telephone_number": "973-902-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD STE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395668",
            "telephone_number": "973-902-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "LAUREN",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01076000",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15648200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.