RANDYGEORGE TYME NP
NPI 1386407526
Nurse Practitioner - Family in New Hyde Park, NY

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment
450 LAKEVILLE RD STE M41-M42, NEW HYDE PARK, NY 11042(516) 734-8500 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randygeorge Tyme Np NPPES

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

RANDYGEORGE TYME NP (NPI 1386407526) is an individual family provider in New Hyde Park, New York, licensed in New York (353456) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386407526
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRANDYGEORGE TYMECredential: NP
Location Address450 LAKEVILLE RD STE M41-M42New Hyde Park, NY 11042-1118
Mailing Address450 Lakeville Rd Ste M41m42New Hyde Park, NY 11042-1118
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1386407526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 353456
450 LAKEVILLE RD STE M41-M42, New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randygeorge Tyme Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981041852
PECOS Enrollment IDI20240327002389
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
450 LAKEVILLE RD STE M41-M42
NEW HYDE PARK, NY 11042

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 Randygeorge Tyme's NPI number?

The NPI number for Randygeorge Tyme is 1386407526. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Randygeorge Tyme located?

Randygeorge Tyme practices at 450 Lakeville Rd Ste M41-M42, New Hyde Park, NY 11042. The listed phone number is (516) 734-8500.

What is Randygeorge Tyme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randygeorge Tyme enrolled in Medicare?

Yes. Randygeorge Tyme is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Randygeorge Tyme affiliated with any hospitals?

According to CMS data, Randygeorge Tyme is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Randygeorge Tyme was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.