Active NPI
Randy M Seewald, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1799471
- Practice address
- 1825 Park Ave
New York, NY 10035-1641 - Phone
- (212) 774-3250
- NPI assigned
- Feb 17, 2006
- Last updated
- Dec 3, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1799471 | NY | Primary |
Addresses
Primary practice location
1825 Park Ave
New York, NY 10035-1641
Mailing address
1825 Park Ave
New York, NY 10035-1641
Phone (212) 774-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01152625 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920000756 | NJ | Practitioner - Addiction Medicine | 1456333608 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1799471 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choicepoint LLC | Internal Medicine | Current | Accepting new patients |
| Choicepoint LLC | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Beth Israel Medical Center | Internal Medicine | Past | Accepting new patients |
Locations
6586 Atlantic Ave
Delray Beach, FL 33446
Phone (203) 240-0426
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ridgefield Visiting Nurse Association | Hospice | W-2 Managing Employee | Dec 4, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Ridgefield, CT
- NPI 1619491107
W-2 Managing Employee
Organizations & group practices 4
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.
-
- Addiction Medicine (Family Medicine) Physician
- Fair Lawn, NJ
- NPI 1215702576
Internal Medicine
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fair Lawn, NJ
- NPI 1831702562
-
dba Medicine Associates of Bimc
- Internal Medicine Physician
- New York, NY
- NPI 1861457202
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1912972548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351641",
"telephone_number": "212-774-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351641",
"telephone_number": "212-774-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEWALD",
"first_name": "RANDY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1799471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01152625",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.