Individual provider Active NPI

Jeffrey Lawrence Rand, MD

  • Dermatology Physician
  • Allentown, PA
National Provider Identifier
1659746394
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD467110 Issued in PA
Practice address
1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103
Phone
(610) 437-4134
Fax
(610) 770-0993
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD467110 PA Primary

Addresses

Primary practice location

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103

Mailing address

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373
Phone (610) 437-4134

Other practice location 1

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103
Phone (610) 437-4134

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160705000934 NY Practitioner - Dermatology 3476845843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD467110PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Dermatology CurrentSince Jun 27, 2016 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jun 27, 2016 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1659746394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036373",
            "telephone_number": "610-437-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-437-4134",
            "fax_number": "610-770-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 S Cedar Crest Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "18103",
            "country_code": "US",
            "telephone_number": "610-437-4134",
            "fax_number": "610-770-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAND",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD467110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.