NPIMap

Individual provider Active NPI

Randy Castillejo Talamayan, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Lakewood, NJ
National Provider Identifier
1407826399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
MA070826 Issued in NJ
Practice address
1215 Route 70
Suite 1005
Lakewood, NJ 08701-5947
Phone
(732) 942-0888
Fax
(732) 942-1230
NPI assigned
Jan 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X MA070826 NJ Primary

Addresses

Primary practice location

1215 Route 70
Suite 1005
Lakewood, NJ 08701-5947

Mailing address

1215 Route 70
Suite 1005
Lakewood, NJ 08701-5947
Phone (732) 942-0888

Other identifiers 1

IdentifierTypeStateIssuer
8313806MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001229 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7810980059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Medical and Pediatrics Associates,LLCGroup PAC ID 6507807898, 6 clinicians

Practice addresses (Care Compare)

1255 Route 70
Suite 12N
Lakewood, NJ 08701-5900
Phone (732) 942-0888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA070826NJMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kimball Medical Center, Inc Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407826399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ROUTE 70",
            "address_2": "SUITE 1005",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015947",
            "telephone_number": "732-942-0888",
            "fax_number": "732-942-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ROUTE 70",
            "address_2": "SUITE 1005",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015947",
            "telephone_number": "732-942-0888",
            "fax_number": "732-942-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAMAYAN",
        "first_name": "RANDY",
        "middle_name": "CASTILLEJO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "MA070826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8313806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.