Organization Active NPI

Randy Braff, LCSW, PC

  • Community/Behavioral Health Agency
  • Wantagh, NY
National Provider Identifier
1568324804
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RANDY BRAFF, LCSW, PC
Practice address
2079 Wantagh Ave Ste 1C
Wantagh, NY 11793-3924
Phone
(631) 827-8387
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Mr. Randy Lee Braff, LCSW-RNPI 1649369745
Title
Owner
Phone
(631) 827-8387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2079 Wantagh Ave Ste 1C
Wantagh, NY 11793-3924

Mailing address

182 Phyllis Dr
Patchogue, NY 11772-2958
Phone (631) 827-8387

Other practice location 1

120 E Main St Ste 6
Patchogue, NY 11772-3196
Phone (631) 827-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260211000245 NY Part B Supplier - Clinic/Group Practice 5193204089 Receives reassigned benefits from 1 practitioner
Practice locations: Wantagh, NY

National Provider Directory

National Provider Directory

Locations

120 E Main St
Ste 6
Patchogue, NY 11772
Phone (631) 827-8387

2079 Wantagh Ave
Ste 1C
Wantagh, NY 11793
Phone (631) 827-8387

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1568324804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 PHYLLIS DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722958",
            "telephone_number": "631-827-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 WANTAGH AVE STE 1C",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933924",
            "telephone_number": "631-827-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723196",
            "country_code": "US",
            "telephone_number": "631-827-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDY BRAFF, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BRAFF",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-827-8387",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.