Randy S Tartacoff, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA04425400 Issued in NJ

Practice address

718 Teaneck Road
Teaneck, NJ 07666

Phone

(201) 833-3000

Fax

(201) 833-0795

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Physician Services of New Jersey,Professional Association

  • Emergency Medicine Physician
  • Mount Holly, NJ
  • NPI 1831539568
  Medicare reassignment NPD
• Saint Peter's Healthcare System Physician Associates

  • General Practice Physician
  • New Brunswick, NJ
  • NPI 1548569361
  Medicare reassignment NPD

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508829110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SOURLAND HILLS RD",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581520",
            "telephone_number": "609-466-4719",
            "fax_number": "609-466-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-833-3000",
            "fax_number": "201-833-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTACOFF",
        "first_name": "RANDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA04425400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2243105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet R Tambor-Weiss, M.S., CCC-SLP
• Tami-Beth Danzig (Temima Danzig, LCSW)
• Sarah Rachel Tancer
• Irmina Dela Cruz Tanion, APN-C
• Phyllis A Tarallo, DNP,DCC,FNP-C
• Albert Tartini, M.D.
• Erica Marie Taryla
• Sarah Tarzik, ATR-BC
• Berk Taskin
• Samuel Stanley Tatem Jr., D.D.S.

• Emergency Medicine Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.