Organization Active NPI

Dov J. Rand MD PA

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Wayne, NJ
National Provider Identifier
1679622823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
25MA05832500 Issued in NJ
Legal business name
DOV J. RAND MD PA
Practice address
2035 Hamburg Tpke Ste G
Wayne, NJ 07470-6251
Phone
(973) 839-3923
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dov Johanan RandNPI 1043311145
Title
Owner
Phone
(973) 633-1122

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
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 225500000X 25MA05832500 NJ Primary

Addresses

Primary practice location

2035 Hamburg Tpke Ste G
Wayne, NJ 07470-6251

Mailing address

PO Box 2403
Wayne, NJ 07474-2403
Phone (973) 633-1122

Other identifiers 1

IdentifierTypeStateIssuer
6543006MedicaidNJ

National Provider Directory

National Provider Directory

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679622823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2403",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074742403",
            "telephone_number": "973-633-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE STE G",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706251",
            "telephone_number": "973-839-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOV J. RAND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "JOHANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-633-1122",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "NJ",
            "license": "25MA05832500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6543006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.