Active NPI
Kandys Randolph
- Counselor
- Freehold, NJ
National Provider Identifier
1629644141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37PC00682500
- Practice address
- 303 W Main St Ste 350
Freehold, NJ 07728-4832 - Phone
- (732) 393-8391
- Fax
- (732) 308-4500
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37PC00682500 | NJ | Primary |
Addresses
Primary practice location
303 W Main St Ste 350
Freehold, NJ 07728-4832
Mailing address
303 W Main St Ste 350
Freehold, NJ 07728-4832
Phone (732) 393-8391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1629644141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W MAIN ST STE 350",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284832",
"telephone_number": "732-393-8391",
"fax_number": "732-308-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W MAIN ST STE 350",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284832",
"telephone_number": "732-393-8391",
"fax_number": "732-308-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "KANDYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC00682500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.