Randy D Makovsky MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

120852 Issued in NY

Legal business name

RANDY D MAKOVSKY MD PC

Practice address

475 Northern Blvd
Ste 26
Great Neck, NY 11021-4802

Phone

(516) 482-3530

Fax

(516) 829-2654

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randy David Makovsky, MDNPI 1801861323

Title

Owner

Phone

(516) 482-3530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy David Makovsky, MD

  • Urology Physician
  • Great Neck, NY
  • NPI 1801861323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396958617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "STE 26",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-482-3530",
            "fax_number": "516-829-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "address_2": "STE 26",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-482-3530",
            "fax_number": "516-829-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY D MAKOVSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKOVSKY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-482-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "120852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliian Ramezani
• Alexandra Ramirez
• Savitrie Ramroop, PT DPT
• Janet S. Randall, M.D.
• Randi Melzer Consulting Services LTD.
• Stacey Rapp
• Elisa M Rappoport
• Isabella Rebecca Rastegar
• Divya Rathish, NP
• Jill H Rathus, PH.D.

• Urology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.