Individual provider Active NPI

Guy James Rando, D.D.S.

  • Dentist
  • Neptune City, NJ
National Provider Identifier
1942374327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14208 Issued in NJ
Practice address
105 Steiner Ave
Neptune City, NJ 07753-6640
Phone
(732) 775-9048
Fax
(732) 775-5844
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14208 NJ Primary

Addresses

Primary practice location

105 Steiner Ave
Neptune City, NJ 07753-6640

Mailing address

105 Steiner Ave
Neptune City, NJ 07753-6640
Phone (732) 775-9048

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001817 NJ Order and Referring Only - DentistPractitioner - Dentist 5294046181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14208NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942374327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEINER AVE",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536640",
            "telephone_number": "732-775-9048",
            "fax_number": "732-775-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEINER AVE",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536640",
            "telephone_number": "732-775-9048",
            "fax_number": "732-775-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDO",
        "first_name": "GUY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "14208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

Verify at the official NPI Registry.