Active NPI
Lauren K Randolph, APRN
- Family Nurse Practitioner
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01076000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15648200 | NJ | MD | Registered Nurse |
| 26NJ01076000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varun Bhatia Corp | Current | Accepting new patients | |
| Urgent Care Physicians of New Jersey, LLC | Current | Accepting new patients | |
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| Immediate Care Medical Walk-in of Hazlet, PA | Current | Accepting new patients | |
| Excel Urgent Care of NJ LLC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients | |
| Varun Bhatia PLLC | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Old Bridge, NJ
- NPI 1255742243
-
- Urgent Care Clinic/Center
- Freehold, NJ
- NPI 1285165209
-
- Urgent Care Clinic/Center
- Hazlet, NJ
- NPI 1245595313
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1447622402
-
- Family Medicine Physician
- South Plainfield, NJ
- NPI 1134857253
-
- Family Medicine Physician
- Edison, NJ
- NPI 1316535016
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.