Active NPI
Randy Scott Stoloff, MD
- Allergy & Immunology Physician
- Fayetteville, NC
National Provider Identifier
1417928318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 2014-02205
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME142529 | FL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialists in Ultrasound, Inc. | Past | Accepting new patients | |
| Randy S Stoloff MD Adult & Pediatric Asthma & Allery PLLC | Allergy & Immunology | Past | 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.
-
- Allergy & Immunology Physician
- Plattsburgh, NY
- NPI 1659492684
-
- Allergy & Immunology Physician
- Athens, GA
- NPI 1952391385
-
- Radiology Clinic/Center
- Colchester, VT
- NPI 1194855361
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.