Individual provider Active NPI

Randy J Czternastek, NP

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1922239086
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335950 Issued in NY
Practice address
2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone
(315) 507-5081
Fax
(315) 738-1663
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335950 NY Primary

Addresses

Primary practice location

2 Ellinwood Dr
New Hartford, NY 13413-1102

Mailing address

902 Arnold Ave
Utica, NY 13502-5606
Phone (315) 404-7157

Other practice location 1

610 French Rd
New Hartford, NY 13413-1014
Phone (315) 738-1662

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000459 NY Practitioner - Nurse Practitioner 6002962800 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

2 Ellinwood Dr
Suite 1
New Hartford, NY 13413-1103
Phone (315) 507-5081

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

6400 Powers Rd
Orchard Park, NY 14127-4841
Phone (914) 843-9637

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Utica Rehabilitation & Nursing Center Nursing home, Utica, NY, CCN 335471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Ellinwood Nurse Practitioner in Family Health,PLLC CurrentSince Jun 29, 2020 Accepting new patients
Care Connect Medical P.C. CurrentSince Jun 20, 2025 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Nov 19, 2025 Accepting new patients
Mobile Physician Services PLLC CurrentSince Nov 19, 2025 Accepting new patients
Partners Medical Group, PLLC CurrentSince Mar 17, 2024 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Urnc Operating, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

2 Ellinwood Dr
Ste 1
New Hartford, NY 13413
Phone (315) 507-5081

6400 Powers Rd
Orchard Park, NY 14127
Phone (716) 667-0001

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1922239086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 ARNOLD AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025606",
            "telephone_number": "315-404-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELLINWOOD DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131102",
            "telephone_number": "315-507-5081",
            "fax_number": "315-738-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 French Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131014",
            "country_code": "US",
            "telephone_number": "315-738-1662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZTERNASTEK",
        "first_name": "RANDY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.