Individual provider Active NPI

Randa Zakhary, MD

  • Specialist
  • Oakhurst, NJ
National Provider Identifier
1568867349
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A71315 Issued in CA
Practice address
603 Dow Ave
Oakhurst, NJ 07755
Phone
(732) 531-0118
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A71315 CA Primary

Addresses

Primary practice location

603 Dow Ave
Oakhurst, NJ 07755

Mailing address

603 Dow Ave
Oakhurst, NJ 07755
Phone (732) 531-0118

Other identifiers 1

IdentifierTypeStateIssuer
A71315OtherCAMEDICAL LICENSE, MEDICAL BOARD OF CALIFORNIA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71315CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1568867349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DOW AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DOW AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHARY",
        "first_name": "RANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A71315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE, MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A71315",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.