Individual provider Active NPI

Randy Scott Stoloff, MD

  • Allergy & Immunology Physician
  • Fayetteville, NC
National Provider Identifier
1417928318
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2014-02205 Issued in NC
Practice address
200 Forsythe St
Fayetteville, NC 28303-5426
Phone
(910) 824-7619
Fax
(910) 824-7754
NPI assigned
Jan 30, 2006
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME142529 FL
Allergy & Immunology Physician 207K00000X D0088620 MD
Allergy & Immunology Physician 207K00000X 2014-02205 NC Primary

Addresses

Primary practice location

200 Forsythe St
Fayetteville, NC 28303-5426

Mailing address

200 Forsythe St
Fayetteville, NC 28303-5426
Phone (910) 824-7619

Other practice location 1

950 Glades Rd # 4A
Boca Raton, FL 33431-6401
Phone (561) 391-8086

Other practice location 2

14995 Shady Grove Rd Ste 100
Rockville, MD 20850-8733
Phone (410) 772-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://flcoloapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp#/mobiledoc/jsp/webemr/jellybe

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142529FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Ultrasound, Inc. Past Accepting new patients
Randy S Stoloff MD Adult & Pediatric Asthma & Allery PLLC Allergy & Immunology PastSince Jan 1, 1990 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology 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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1417928318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FORSYTHE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035426",
            "telephone_number": "910-824-7619",
            "fax_number": "910-824-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORSYTHE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035426",
            "telephone_number": "910-824-7619",
            "fax_number": "910-824-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Glades Rd # 4A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316401",
            "country_code": "US",
            "telephone_number": "561-391-8086",
            "fax_number": "954-354-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14995 Shady Grove Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508733",
            "country_code": "US",
            "telephone_number": "410-772-8000",
            "fax_number": "443-276-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLOFF",
        "first_name": "RANDY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME142529",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0088620",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2014-02205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://flcoloapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp#/mobiledoc/jsp/webemr/jellybe",
            "affiliation": "N",
            "address_1": "950 Glades Rd # A",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334316401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.