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MR. RANDOLPH OWEN MARCUS LCSW, DSW
NPI 1053475293
Counselor - Mental Health in East Meadow, NY

Active since December 21, 2006PECOS Enrolled
749 DURHAM RD, EAST MEADOW, NY 11554(516) 292-0976 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randolph Owen Marcus Lcsw, Dsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDOLPH OWEN MARCUS LCSW, DSW (NPI 1053475293) is an individual mental health provider in East Meadow, New York, licensed in New York (RO18264-1) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1053475293
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RANDOLPH OWEN MARCUSCredential: LCSW, DSW
Location Address749 DURHAM RDEast Meadow, NY 11554-4604
Mailing Address749 Durham RdEast Meadow, NY 11554-4604 · (516) 292-0976
Phone(516) 292-0976
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053475293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · RO18264-1
749 DURHAM RD, East Meadow, NY 11554
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Other Identifiers 1

Medicare ID-Type UnspecifiedN46621

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randolph Owen Marcus Lcsw, Dsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012320161
PECOS Enrollment IDI20210108001478
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. FELICE SCHULMAN-MARCUS LCSW-R
Counselor (Mental Health)
749 DURHAM RD
EAST MEADOW, NY 11554
Nassau County (516) 292-0976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Marcus's NPI number?

The NPI number for Randolph Marcus is 1053475293. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Randolph Marcus located?

Randolph Marcus practices at 749 Durham Rd, East Meadow, NY 11554. The listed phone number is (516) 292-0976.

What is Randolph Marcus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Randolph Marcus enrolled in Medicare?

Yes. Randolph Marcus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randolph Marcus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.