Individual provider Active NPI

Randah Al Kana, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bloomfield, NJ
National Provider Identifier
1821048554
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA05729200 Issued in NJ
Practice address
1515 Broad St
Suite 130-B
Bloomfield, NJ 07003-3085
Phone
(973) 873-7000
Fax
(973) 873-7025
NPI assigned
May 11, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 25MA05729200 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA05729200 NJ Primary

Addresses

Primary practice location

1515 Broad St
Suite 130-B
Bloomfield, NJ 07003-3085

Mailing address

PO Box 95000 CL# 4480
Philadelphia, PA 19195-4480
Phone (738) 737-0009

Other practice location 1

99 Highway 37
Toms River, NJ 08755-6423
Phone (732) 240-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071030000043 NJ Practitioner - Pathology 3577650183 Reassigns benefits to 5 organizations
I20140228000501 PA Practitioner - Pathology 3577650183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412

125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 937-8841

99 Hwy 37 W
Toms River, NJ 08755-6423
Phone (732) 557-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Schuylkill Endoscopy Center,Inc Current Accepting new patients
Hackensack Pathology Associates, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 8, 2015 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2022 Accepting new patients
Lehigh Gastroenterology Associates CurrentSince Jan 1, 2014 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Jun 1, 2022 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Past Accepting new patients
Ac Rao PC PastSince Feb 23, 2021 Accepting new patients
Urology Specialty Care PA Past Accepting new patients
Hamilton Gastroenterology Group, P.C. Past Accepting new patients
Summit Medical Group, Inc PastSince Oct 6, 2019 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

5700 Southwyck Blvd
Toledo, OH 43614

204 State Rd
Lehighton, PA 18235
Phone (610) 377-6225

400 S 9th St
Lehighton, PA 18235
Phone (610) 377-9680

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1821048554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 CL# 4480",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954480",
            "telephone_number": "738-737-0009",
            "fax_number": "973-873-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST",
            "address_2": "SUITE 130-B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033085",
            "telephone_number": "973-873-7000",
            "fax_number": "973-873-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Highway 37",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087556423",
            "country_code": "US",
            "telephone_number": "732-240-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL KANA",
        "first_name": "RANDAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NJ",
            "license": "25MA05729200",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA05729200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.