Active NPI
Randy C Mayerson, M.T.
- Other Technician
- Madison Heights, MI
National Provider Identifier
1578525093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1311 Maureen Ave
Madison Heights, MI 48071-2934 - Phone
- (248) 545-6963
- NPI assigned
- Apr 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
1311 Maureen Ave
Madison Heights, MI 48071-2934
Mailing address
1311 Maureen Ave
Madison Heights, MI 48071-2934
Phone (248) 545-6963
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
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578525093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAUREEN AVE",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712934",
"telephone_number": "248-545-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 MAUREEN AVE",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712934",
"telephone_number": "248-545-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYERSON",
"first_name": "RANDY",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
- Kaylee Renee Maust, SLP
- Max Rehab Physical Therapy, LLC
- Max Rehabilitation Physical Therapy LLC
- Maxem Health Urgent Care Madison Heights
- Jonathon Mitchell Maxgay
- Molly Kathleen McCarthy
- Kaitlin Yvonne McClure, DO
- Louise Antoinette McDonald, MA, CCC,SLP
- Shay Elizabeth McLauchlan
- Kristin McLellan, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.